Individual
LANDA M. BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1565 SKYLYN DR, SPARTANBURG, SC 29307-1034
(864) 585-5010
(864) 699-9479
Mailing address
1565 SKYLYN DR, SPARTANBURG, SC 29307-1034
(864) 585-5010
(864) 699-9479
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4529
SC
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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