Individual
ANDREA LETICIA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9121 FOLSOM BLVD STE F, SACRAMENTO, CA 95826-2473
(916) 701-5258
Mailing address
3737 MARCONI AVE, SACRAMENTO, CA 95821-5303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
01/05/2026
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