person
Demetrist Bass, LCSW
Mental Health Counselor in New York, New York
NPI 1285411207

Demetrist Bass is a Mental Health Counselor based in Gulfport, NY and is specialized in Mental Health. Demetrist Bass practices in New York, NY and has the professional credentials of LCSW. The NPI Number for Demetrist Bass is 1285411207 and holds a License No. C10502 (New York).

The current practice location address for Demetrist Bass is 320 W 37Th St Fl 5, New York, NY and can be reached out via phone at 228-343-7413.

Location: 320 W 37Th St Fl 5, New York, NY, 39505-2424
person
Provider Profile Details
NPI Number
1285411207
Provider Name
Demetrist Bass
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
320 W 37Th St Fl 5, New York, NY, 39505-2424
Phone Number
228-343-7413
Fax Number
Provider Enumeration Date
09/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
320 W 37Th St Fl 5
City
State
Zip
10018-4252
Phone Number
228-343-7413
Fax Number
person
Provider Business Mailing Address Details
Address
320 W 37Th St Fl 5
City
State
Zip
10018-4252
Phone Number
228-343-7413
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C10502 (Mississippi)
Definition
Definition to come...
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