Individual
PHISHON BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 E MATTHEWS AVE, JONESBORO, AR 72401-4347
(870) 910-3757
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2304005
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/14/2020
Last updated
08/15/2023
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