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Individual

ANDREA MARIE BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
109 NE MANZANITA AVE, GRANTS PASS, OR 97526-1400
(541) 479-8847
(541) 471-2679

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15-08-01
OR
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
19078
MN

Other

Enumeration date
07/20/2015
Last updated
02/09/2021
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