Individual
BRENDON ALAN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 BELCHER RD S STE J, LARGO, FL 33771-3356
(727) 209-7207
Mailing address
1101 BELCHER RD S STE J, LARGO, FL 33771-3356
(443) 630-4638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/29/2021
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