Individual
MS. TRISHA MARIE BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5307 EAGLES WAY APT 5, MT PLEASANT, MI 48858-7383
(231) 250-4096
Mailing address
5307 EAGLES WAY APT 5, MT PLEASANT, MI 48858-7383
(231) 250-4096
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016691
MI
101Y00000X
Counselor
—
—
247200000X
Other Technician
—
MI
Other
Enumeration date
05/25/2016
Last updated
03/18/2019
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