MR. GUADALUPE V BAZAN JR. SUDPT
NPI 1699391573
Counselor - Addiction (Substance Use Disorder) in Yakima, WA

Active since June 17, 2020
609 W LOGAN AVE, YAKIMA, WA 98902(509) 367-1674 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Guadalupe V Bazan Jr. Sudpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GUADALUPE V BAZAN JR. SUDPT (NPI 1699391573) is an individual addiction (substance use disorder) provider in Yakima, Washington, licensed in Washington (60914407) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1699391573
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GUADALUPE V BAZAN JR.Credential: SUDPT
Location Address609 W LOGAN AVEYakima, WA 98902-5553
Mailing Address609 W Logan AveYakima, WA 98902-5553 · (509) 367-1674
Sole ProprietorYes
Enumeration DateJune 17, 2020
NPPES CertifiedJune 17, 2020
NPI 1699391573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · 60914407
609 W LOGAN AVE, Yakima, WA 98902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guadalupe Bazan's NPI number?

The NPI number for Guadalupe Bazan is 1699391573. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Where is Guadalupe Bazan located?

Guadalupe Bazan practices at 609 W Logan Ave, Yakima, WA 98902. The listed phone number is (509) 367-1674.

What is Guadalupe Bazan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Guadalupe Bazan was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.