Organization
PATRICIA BASS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MICHELLE BASS LPC (MANAGING MEMBER)
(417) 254-4459
Entity
Organization
Contact information
Practice address
202 DEAN AVE STE 5, AVA, MO 65608-5582
(417) 254-4459
(417) 683-2220
Mailing address
4460 MOUNT ZION RD, MOUNTAIN GROVE, MO 65711-2668
(417) 254-4459
(417) 683-2220
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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