Individual
SHALONDA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1941 S 42ND ST STE 129, OMAHA, NE 68105-2938
(402) 871-9979
Mailing address
1941 S 42ND ST STE 129, OMAHA, NE 68105-2938
(402) 871-9979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2015
Last updated
10/24/2015
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