Individual
MS. CYNTHIA JUNE BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8036 MOORSBRIDGE ROAD, STE 2, PORTAGE, MI 49024-4417
(269) 327-1438
(269) 327-6454
Mailing address
PO BOX 2585, PORTAGE, MI 49081-2585
(269) 381-0150
(269) 373-4720
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006422
MI
103T00000X
Psychologist
6301007154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045149
VALUE OPTIONS
MI
01
—
890532
BCN PIN
MI
01
—
OC91042
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/31/2006
Last updated
09/11/2025
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