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Organization
LISA V. BAZA
Active
Organization
LISA V. BAZA
Active
Other names
Wellness Consultant
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA VILLANUEVA BAZA M.A. (THERAPIST)
(671) 777-3764
Entity
Organization
Contact information
Practice address
1264 N CHALAN CANTON TASI, YONA, GU 96915-4644
(671) 777-3764
(671) 472-5450
Mailing address
1264 N CHALAN CANTON TASI, YONA, GU 96915-4644
(671) 777-3764
(671) 472-5450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMF-76
GU
Other
Enumeration date
04/28/2013
Last updated
04/28/2013
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