Mr. ISMAEL BAZAN -- CDPT
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1073738456- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CDPT
- Status
- Active
Contact & Location
- Address
- 720 W COURT ST SUITE 8 NUEVA ESPERANZA, PASCO, WA, 99301
- Phone
- (509) 545-6506
- Fax
- (509) 546-0520
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: WA #RC00046735