Jason R Bassilakis LICSW

NPI 1346498664 - Social Worker - 1041C0700X

NPI Details
NPI 1346498664
Gender Male
Enumeration Date 08/28/2008
Last Updated 08/03/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
10 CABOT RD, SUITE 101
THE COUNSELING CENTER
MEDFORD MA, 02155-5017, US
Phone (781) 393-5153
Fax (781) 393-5168
Business Location
10 CABOT RD, SUITE 101
THE COUNSELING CENTER
MEDFORD MA, 02155-5017, US
Phone (781) 393-5153
Fax (781) 393-5168
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 116380
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According to our database, Mr. Jason R Bassilakis LICSW NPI is 1346498664, taxonomy code is 1041C0700X and license number is 116380, license state is located at Massachusetts. Jason R Bassilakis LICSW physically located at 10 Cabot Rd, Suite 101, Medford MA, 02155-5017. NPI Number Jason R Bassilakis LICSW has the Individual type.

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1346498664 NPI number is provided on an as is basis without warranty of any kind. 1346498664 is maintained by the National Plan & Provider Enumeration System. The contents of Jason R Bassilakis LICSW are for informational purposes only.