person
Kerry Marie Bash, CATC
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1396060935

Kerry Marie Bash is an Addiction (Substance Use Disorder) Counselor based in Fresno, CA and is specialized in Addiction (Substance Use Disorder). Kerry Marie Bash practices in Fresno, CA and has the professional credentials of CATC. The NPI Number for Kerry Marie Bash is 1396060935 and holds a License No. AII052450218 (California).

The current practice location address for Kerry Marie Bash is 2212 N Winery Ave Ste 122, Fresno, CA and can be reached out via phone at 559-600-9168.

Location: 2212 N Winery Ave Ste 122, Fresno, CA, 93703-2896
person
Provider Profile Details
NPI Number
1396060935
Provider Name
Kerry Marie Bash
Credential
CATC
Provider Entity Type
Individual
Gender
Female
Address
2212 N Winery Ave Ste 122, Fresno, CA, 93703-2896
Phone Number
559-600-9168
Fax Number
Provider Enumeration Date
04/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B4690334 01 CA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
2212 N Winery Ave Ste 122
City
State
Zip
93703-2896
Phone Number
559-600-9168
Fax Number
person
Provider Business Mailing Address Details
Address
2212 N Winery Ave Ste 122
City
State
Zip
93703-2896
Phone Number
559-600-9168
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
AII052450218 (California)
Definition
Definition to come...
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