Mr Gabriel Jacob Bazurto Jr, LISAC - Counselor in Tucson, AZ

Mr Gabriel Jacob Bazurto Jr, LISAC is a Counselor - Addiction (substance Use Disorder) based in Tucson, Arizona. Mr Gabriel Jacob Bazurto Jr is licensed to practice in Arizona (license number LISAC-11077) and his current practice location is 2700 S 8th Ave, Tucson, Arizona. He can be reached at his office (for appointments etc.) via phone at (520) 628-3400.

NPI number for Mr Gabriel Jacob Bazurto Jr is 1295116440 and his current mailing address is 2700 S 8th Ave, Tucson, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295116440.

Contact Information

Mr Gabriel Jacob Bazurto Jr, LISAC
2700 S 8th Ave,
Tucson, AZ 85713-4730
(520) 628-3400
(520) 628-3401

Map and Direction


Healthcare Provider's Profile

Full NameMr Gabriel Jacob Bazurto Jr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2700 S 8th Ave, Tucson, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295116440
  • Provider Enumeration Date: 06/13/2015
  • Last Update Date: 06/13/2015

Medical Identifiers

Medical identifiers for Mr Gabriel Jacob Bazurto Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295116440NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LISAC-11077 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gabriel Jacob Bazurto Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Gabriel Jacob Bazurto Jr, LISAC
2700 S 8th Ave,
Tucson, AZ 85713-4730

Ph: (520) 628-3400
Mr Gabriel Jacob Bazurto Jr, LISAC
2700 S 8th Ave,
Tucson, AZ 85713-4730

Ph: (520) 628-3400

Reviews and Comments


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