Mr. Guadalupe V Bazan Jr., SUDPT
Mr. Guadalupe V Bazan Jr., SUDPT is an Addiction (Substance Use Disorder) Counselor in Yakima, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2020
Practice location Address checks out
609 W Logan AveYakima, WA 98902-5553
Phone: (509) 367-1674
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 60914407 (WA) |
|---|
Record details
| NPI number | 1699391573 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUDPT |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2020 |
| Last updated in NPPES | June 17, 2020 |
| Certification date | June 17, 2020 |
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