Individual
SUSAN ROBIN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
27 MAIN ST, HEBRON, CT 06248-1514
(860) 228-1287
Mailing address
17 HERITAGE RD, COLUMBIA, CT 06237-1047
(860) 942-4924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002008
CT
Other
Enumeration date
07/20/2019
Last updated
07/20/2019
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