Individual
KASEY BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
104 1/2 N MARIETTA ST, SAINT CLAIRSVILLE, OH 43950-1255
(740) 695-5441
Mailing address
104 1/2 N MARIETTA ST, SAINT CLAIRSVILLE, OH 43950-1255
(740) 695-5441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2406167
OH
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
10/31/2019
Last updated
06/21/2024
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