Individual
PHILLIP MICHAEL BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV, THM, LCMHC
Contact information
Practice address
1777 FORDHAM BLVD STE 204, CHAPEL HILL, NC 27514-5885
(919) 283-3137
Mailing address
5220 HALLMARK RD STE 403B, DURHAM, NC 27712-2058
(919) 210-4627
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A10502
NC
Other
Enumeration date
08/04/2014
Last updated
03/26/2024
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