Bazo, Kimberlee Gail
Bazo, Kimberlee Gail is an sole proprietor health care provider with primary practice located at 101 Creek Crossing Blvd , Hainesport NJ 08036-2765. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bazo, Kimberlee Gail can be contacted via phone (253) 229-5535.Contact Information
Primary practice address
101 Creek Crossing Blvd
Hainesport NJ 08036-2765
Phone: (253) 229-5535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH60165744 | Washington |
Profile Details
| NPI number | 1427355171 |
|---|---|
| LBN Legal business name | Bazo, Kimberlee Gail |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2011 |
| Last updated | Jul 10th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427355171 | NPPES |
| Washington | Other | 12189026 | CAQH |
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