Doctor Name: | ROCIO BAQUERIZO |
NPI Number: | 1023139755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC,CS,NCC |
License Number: | 2367 |
Business Practice Address: | 48000 Armory Guard Rd D103 Fort Richardson, AK - 99505 |
Business Phone Number: | 9073821795 |
Business Fax Number: | |
Mailing Address: | Po Box 670685, CHUGIAK |
State: | AK |
Postal Code: | 995670685 |
Phone Number: | 9074444908 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 06/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |