Individual
ALBERT ALLEN BASS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 W A ST, YAKIMA, WA 98902-2605
(509) 961-6336
Mailing address
611 W A ST, YAKIMA, WA 98902-2605
(509) 961-6336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61422731
WA
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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