Nicole Rae Bazaco, LPC-A

NPI #1316764590 in Colleyville, Texas

Provider Information

NPI Number: 1316764590
Entity Type: Individual
Name: Nicole Rae Bazaco, LPC-A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC-A
Enumeration Date: Sep 20, 2024
Last Updated: Sep 20, 2024

Practice Location

Address: 7165 COLLEYVILLE BLVD STE 103
City: Colleyville
State: Texas
ZIP Code: 76034-8011
Phone: (817) 697-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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