Individual
MR. JOHN BASIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190 GOLD HILL RD, FORT MILL, SC 29708-8977
(803) 493-7272
Mailing address
1525 BAYBERRY PL, CLOVER, SC 29710-8548
(803) 493-7272
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4675
SC
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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