MR. Ismael Bazan, CDPT
NPI #1073738456 in Pasco, Washington
Provider Information
- NPI Number
- 1073738456
- Entity Type
- Individual
- Name
- MR. Ismael Bazan, CDPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDPT
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 720 W COURT ST
- Address 2
- SUITE 8 NUEVA ESPERANZA
- City
- Pasco
- State
- Washington
- ZIP Code
- 99301
- Phone
- (509) 545-6506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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