Individual
MS. KATHERINE MICHELENE BAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR
Contact information
Practice address
808 S PEORIA AVE, TULSA, OK 74120-4427
(918) 560-1300
Mailing address
808 S PEORIA AVE, TULSA, OK 74120-4427
(918) 560-1300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
323
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
03/28/2022
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