Individual
MR. LIONEL ROSS BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FAODP
Contact information
Practice address
2081 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 895-0500
(313) 895-0500
Mailing address
3655 RIVARD ST APT 6, DETROIT, MI 48207-2039
(313) 833-0229
(313) 895-0500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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