Individual
MS. JOLEEN AGUON BAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
655 HARMON LOOP RD STE 108, DEDEDO, GU 96929-6544
(671) 486-0287
Mailing address
PO BOX 326075, HAGATNA, GU 96932-6001
(671) 486-0287
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-161
GU
Other
Enumeration date
01/18/2020
Last updated
01/18/2020
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