person
Mrs. Nicholett Alexandria Bascou, APCC5464
Mental Health Counselor in Fairfield, California
NPI 1275013807

Nicholett Alexandria Bascou is a Mental Health Counselor based in Fairfield, CA and is specialized in Mental Health. Nicholett Alexandria Bascou practices in Fairfield, CA and has the professional credentials of APCC5464. The NPI Number for Nicholett Alexandria Bascou is 1275013807 and holds a License No. (California).

The current practice location address for Nicholett Alexandria Bascou is 1300 Oliver Rd Ste 193, Fairfield, CA and can be reached out via phone at 805-293-1520.

Location: 1300 Oliver Rd Ste 193, Fairfield, CA, 94533-7209
person
Provider Profile Details
NPI Number
1275013807
Provider Name
Nicholett Alexandria Bascou
Credential
APCC5464
Provider Entity Type
Individual
Gender
Female
Address
1300 Oliver Rd Ste 193, Fairfield, CA, 94533-7209
Phone Number
805-293-1520
Fax Number
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 Oliver Rd Ste 193
City
State
Zip
94534-3431
Phone Number
805-293-1520
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Oliver Rd Ste 193
City
State
Zip
94534-3431
Phone Number
805-293-1520
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(California)
Definition
Definition to come...
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