Most Relevant Information
Provider Data
| NPI Number: | 1003539263 |
| Provider Name: | NATACHA BAZIN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH21307 |
Most Important Dates
| Enumeration Date: | 09/22/2022 |
| Last Updated: | 02/07/2024 |
Provider Practice Location
1015 BIG TORCH ST
RIVIERA BEACH
FL
334071140
Practice Location Phone/Fax
| Phone: | 5612344195 |
| Fax: |
Provider Mailing Location
1015 BIG TORCH ST
RIVIERA BEACH
FL
334071140
Provider Mailing Phone/Fax
| Phone: | 5612344195 |
| Fax: |