Individual
MS. LINDA BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
17 ESPLANADE WAY, BAYVILLE, NJ 08721-1911
(732) 281-9147
Mailing address
17 ESPLANADE WAY, BAYVILLE, NJ 08721-1911
(732) 281-9147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001024533
MENTAL HEALTH COUNSELOR
NJ
Enumeration date
07/16/2009
Last updated
07/16/2009
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