Organization
CATHERINE KABASIA LLC
Active
Other names
Catherine Kabasia LCSW, Catherine Kabasia LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE DIMAKATSO KABASIA-SELLO LCSW (THERAPIST/OWNER)
(479) 601-7577
Entity
Organization
Contact information
Practice address
19 E MOUNTAIN ST STE 12, FAYETTEVILLE, AR 72701-6067
(479) 601-7577
Mailing address
19 E MOUNTAIN ST STE 12, FAYETTEVILLE, AR 72701-6067
(479) 601-7577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/22/2021
Last updated
03/26/2021
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