Individual
DANIEL BASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
722 SCOTT ST, COVINGTON, KY 41011-2418
(859) 491-1348
(859) 491-7174
Mailing address
PO BOX 2680, COVINGTON, KY 41012-2680
(859) 578-3208
(859) 578-3273
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCPCC00195365
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
09/12/2012
Last updated
09/03/2014
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