Individual
SAMANTHA BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC, MHC-LP
Contact information
Practice address
175 FULTON AVE STE 300, HEMPSTEAD, NY 11550-3702
(516) 481-0052
(516) 481-2115
Mailing address
175 FULTON AVE STE 300, HEMPSTEAD, NY 11550-3702
(516) 481-0052
(516) 481-2115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32700
NY
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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