Individual
ANDREW BASSUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D;LCSW
Contact information
Practice address
119 FIGUEROA ST, VENTURA, CA 93001-2756
(805) 208-4428
Mailing address
1909 E MAIN ST, VENTURA, CA 93001-3406
(805) 208-4428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCS18293
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW18293
PTAN
CA
Enumeration date
10/24/2006
Last updated
03/12/2024
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