Individual
ANGELA ANNETTE BASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
4300 DUHME RD, MADEIRA BEACH, FL 33708-2892
(727) 391-7001
Mailing address
6322 PALMA DEL MAR BLVD S APT 106, ST PETERSBURG, FL 33715-1250
(623) 810-8252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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