Individual provider · Type 1 NPI

Lionel Ross Bass, FAODP

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1336353838 Active

Practice location

2081 W Grand Blvd
Detroit, MI 48208-1105

Call (313) 895-0500 Map

Fax (313) 895-0500

Mailing address

3655 Rivard St Apt 6
Detroit, MI 48207-2039

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336353838

Lionel Ross Bass, FAODP's National Provider Identifier is 1336353838, issued on May 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.