Traci Richele Bass CERTIFICATE AOD

NPI 1275705873 - Counselor - 101YA0400X

NPI Details
NPI 1275705873
Gender Female
Enumeration Date 03/24/2008
Last Updated 09/21/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
301 SMITH RANCH RD
MARIN CA, 94901-2102, US
Phone (415) 492-0818
Fax
Business Location
24 EL DORADO CT
FAIRFIELD CA, 94533-2232, US
Phone (707) 746-2605
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Ms. Traci Richele Bass CERTIFICATE AOD NPI is 1275705873, taxonomy code is 101YA0400X Traci Richele Bass CERTIFICATE AOD physically located at 301 Smith Ranch Rd, Marin CA, 94901-2102. NPI Number Traci Richele Bass CERTIFICATE AOD has the Individual type.

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1275705873 NPI number is provided on an as is basis without warranty of any kind. 1275705873 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Richele Bass CERTIFICATE AOD are for informational purposes only.