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ANGELA ANNETTE BASSO MS, LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1174047419

Individual Registrant:
 ANGELA ANNETTE BASSO MS, LMHC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4300 DUHME RD  MADEIRA BEACH, FL 33708-2892 US
Tel: 727-391-7001  Fax: --

Contact information for business:
6322 PALMA DEL MAR BLVD S APT 106  ST PETERSBURG, FL 33715-1250 US
Tel: 623-810-8252  Fax: --

Registration Information:
NPI: 1174047419
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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