Individual
DR. PRISCILLA BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7919 BIG BEND BLVD, SUITE B, WEBSTER GROVES, MO 63119-2703
(314) 537-7747
Mailing address
9641 HARTSDALE DR, SAINT LOUIS, MO 63126-2445
(314) 537-7747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CS001120
MO
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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