Individual
DANIELLE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
607 WICKER ST, SANFORD, NC 27330-4151
(919) 292-2614
Mailing address
607 WICKER ST, SANFORD, NC 27330-4151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P020695
NC
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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