MEDICARE: AARON BACHLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LAC-18379	AZ

General Provider Information

NPI Number	:	1407463078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON BACHLER

Provider Business Mailing Address
First Line	:	2484 E BOSTON ST
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-2301
Country	:	US
Telephone Number	:	602-502-5069
Fax Number	:

Provider Business Practice Location Address
First Line	:	2111 E BASELINE RD STE C7
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-1521
Country	:	US
Telephone Number	:	602-502-5069
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2020
Last Update Date	:	09/28/2020

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