Provider Demographics
NPI:1942796917
Name:PARAZO, MARIA BIANCCA LEGASPI (CADT-P)
Entity Type:Individual
Prefix:
First Name:MARIA BIANCCA
Middle Name:LEGASPI
Last Name:PARAZO
Suffix:
Gender:F
Credentials:CADT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24409 SOTO RD APT 3
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-1438
Mailing Address - Country:US
Mailing Address - Phone:925-219-2271
Mailing Address - Fax:
Practice Address - Street 1:682 BRIERGATE WAY
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-7245
Practice Address - Country:US
Practice Address - Phone:510-487-2910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)