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Javonte Bass
Professional Counselor in Durham, North Carolina
NPI 1750826764

Javonte Bass is a Professional Counselor based in Raleigh, NC and is specialized in Professional. Javonte Bass practices in Durham, NC. The NPI Number for Javonte Bass is 1750826764 and holds a License No. A12621 (North Carolina).

The current practice location address for Javonte Bass is 3500 Westgate Dr Ste 604, Durham, NC and can be reached out via phone at 919-493-5013.

Location: 3500 Westgate Dr Ste 604, Durham, NC, 27609-3457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750826764
Provider Name
Javonte Bass
Credential
Provider Entity Type
Individual
Gender
Female
Address
3500 Westgate Dr Ste 604, Durham, NC, 27609-3457
Phone Number
919-493-5013
Fax Number
Provider Enumeration Date
12/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3500 Westgate Dr Ste 604
City
Durham
State
North Carolina
Zip
27707-2534
Phone Number
919-493-5013
Fax Number
person
Provider Business Mailing Address Details
Address
3500 Westgate Dr Ste 604
City
Durham
State
North Carolina
Zip
27707-2534
Phone Number
919-493-5013
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
A12621 (North Carolina)
Definition
Definition to come...
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