Individual
ASHLEY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11328 CEDAR RUN RD, SOUTH PRINCE GEORGE, VA 23805-4100
(804) 720-0419
Mailing address
11328 CEDAR RUN RD, SOUTH PRINCE GEORGE, VA 23805-4100
(804) 720-0419
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011835
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336293000
—
VA
Enumeration date
08/20/2019
Last updated
05/15/2023
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