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SUSAN ROBIN BASS LPC

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

Registrant NPI Number: 1003469818

Individual Registrant:
 SUSAN ROBIN BASS LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
27 MAIN ST  HEBRON, CT 06248-1514 US
Tel: 860-228-1287  Fax: --

Contact information for business:
17 HERITAGE RD  COLUMBIA, CT 06237-1047 US
Tel: 860-942-4924  Fax: --

Registration Information:
NPI: 1003469818
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
CT002008

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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