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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