Mary France Bazan, LCPC
NPI #1225761182 in Countryside, Illinois
Provider Information
- NPI Number
- 1225761182
- Entity Type
- Individual
- Name
- Mary France Bazan, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Jul 7, 2022
- Last Updated
- Jan 16, 2025
Practice Location
- Address
- 475 W 55TH ST STE 108
- City
- Countryside
- State
- Illinois
- ZIP Code
- 60525-3565
- Phone
- (708) 688-9171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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