Individual
JONATHAN ELLIOTT BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3478 BUSKIRK AVE STE 260, PLEASANT HILL, CA 94523-4358
(925) 943-1794
Mailing address
3478 BUSKIRK AVE STE 260, PLEASANT HILL, CA 94523-4358
(925) 943-1794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
CA
Enumeration date
09/05/2017
Last updated
04/21/2025
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