Individual
ANTHONY TAHON BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15480 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 346-7845
Mailing address
15480 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 346-7845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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