Individual
ROCIO BAQUERIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,CS,NCC
Contact information
Practice address
48000 ARMORY GUARD RD, D103, FORT RICHARDSON, AK 99505
(907) 382-1795
Mailing address
PO BOX 670685, CHUGIAK, AK 99567-0685
(907) 444-4908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2367
AK
Other
Enumeration date
04/02/2007
Last updated
06/06/2013
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