Individual
GAGE WESLEY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3015 HERRING AVE, WACO, TX 76708-3238
(888) 236-4567
Mailing address
2147 LIFESTYLE LN, MCGREGOR, TX 76657-3866
(254) 292-0965
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
67530
TX
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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