Individual provider · Type 1 NPI

Demetrist Bass, LCSW

Mental Health Counselor · New York, NY

NPI number 1285411207 Active

Practice location

320 W 37th St Fl 5
New York, NY 10018-4252

Call (228) 343-7413 Map

Mailing address

PO Box 2424
Gulfport, MS 39505-2424

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC10502 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1285411207

Demetrist Bass, LCSW's National Provider Identifier is 1285411207, issued on Sep 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Sep 12, 2023.