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Individual

MS. NANCY RYER BASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1965 CAPITAL CIR NE, TALLAHASSEE, FL 32308-8401
(850) 510-2831
(850) 893-1806
Mailing address
3405 CHEROKEE RIDGE TRL, TALLAHASSEE, FL 32312-3607
(850) 893-1806
(850) 893-1806

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC 2386
GA
101Y00000X
Counselor
Primary
MH 8447
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC 2386
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH 8447
FL
101YM0800X
Mental Health Counselor
LPC 2386
GA
101YM0800X
Mental Health Counselor
MH 8447
FL
101YP2500X
Professional Counselor
LPC 2386
GA
101YP2500X
Professional Counselor
MH 8447
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
181081
MHN
FL
01
256514000
MAGELLAN
GA
01
296140
WELLCARE
FL
01
550795982
TRICARE
FL
01
7360135
AETNA
01
C47400
CLINICAL EVALUATOR
GA
01
Z094U
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/29/2006
Last updated
11/24/2008
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