Individual
TRECIA THOMPSON BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 E FAIRFIELD RD, HIGH POINT, NC 27263-2281
(225) 854-6520
Mailing address
2205 WYTHE ST, GREENSBORO, NC 27401-4012
(336) 324-0662
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS22329
NC
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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