Whalio Doctors

NPI 1891337242

Lisa V. Baza

Practitioner Professional Counselor Hagatna, GU

Practice location

Address
414 W Soledad Ave STE 500z, Hagatna, GU 96910-5066
Phone
(671) 777-3764
Fax
(671) 477-1077
Mailing address
1264 N Chalan Canton Tasi, Yona, GU 96915-4644

Registered specialties

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC-76 (GU)

Registry record

NPI
1891337242
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Oct 2019
Record last updated
16 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.