Individual provider · Type 1 NPI

Allison Zito Basham, M.A., LPC

Addiction (Substance Use Disorder) Counselor · Roswell, GA

NPI number 1407290117 Active

Practice location

555 Sun Valley Dr, Suite P-4
Roswell, GA 30076-5612

Fax (678) 381-8020

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLPC006374 (GA)
Professional Counselor 101YP2500XLPC006374 (GA)
Mental Health Counselor 101YM0800XLPC006374 (GA)

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

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About NPI 1407290117

Allison Zito Basham, M.A., LPC's National Provider Identifier is 1407290117, issued on Apr 24, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roswell, GA. The record was last updated on Jun 22, 2016.