Individual
VICTORIA K BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5302 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(800) 255-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(800) 255-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/11/2020
Last updated
04/10/2021
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