Individual
MS. SHARON DIANE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN LMFT
Contact information
Practice address
2633 SPRING OAKS DR, SANTA ROSA, CA 95405-9137
(707) 546-6223
Mailing address
2633 SPRING OAKS DR, SANTA ROSA, CA 95405-9137
(707) 546-6223
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
16983
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
236118
CA
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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