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Individual

STEPHANIE ANN BASSANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDC, CCJP, DOT/SAP

Contact information

Practice address
802 E CRESTWOOD DR, VICTORIA, TX 77901-3309
(361) 576-4673
(361) 576-6557
Mailing address
802 E CRESTWOOD DR, VICTORIA, TX 77901-3309
(361) 576-4673
(361) 576-6557

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9901
TX

Other

Enumeration date
08/27/2014
Last updated
08/30/2021
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