Individual
CATHERINE VICTORIA BAEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8080 MOORSBRIDGE RD, PORTAGE, MI 49024-4421
(269) 795-6681
Mailing address
624 DENNER ST, KALAMAZOO, MI 49006-3114
(269) 312-1241
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6451023691
MI
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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