Individual
LACEY BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S WOODROW LN STE 200, DENTON, TX 76205-6323
(940) 228-2227
Mailing address
109 S WOODROW LN STE 200, DENTON, TX 76205-6323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15989
TX
Other
Enumeration date
04/11/2023
Last updated
04/16/2023
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