Individual
GARY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
85 SANGERS LN, STAUNTON, VA 24401-6712
(540) 887-3200
(540) 887-3240
Mailing address
85 SANGERS LN, STAUNTON, VA 24401-6712
(540) 887-3200
(540) 887-3240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004465
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945336
—
VA
Enumeration date
10/23/2008
Last updated
10/23/2008
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