Individual provider · Type 1 NPI

Kiara Latrese Bass

Mental Health Counselor · Jackson, MS

NPI number 1629638127 Active

Practice location

1465 Lakeland Dr
Jackson, MS 39216-4719

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629638127

Kiara Latrese Bass's National Provider Identifier is 1629638127, issued on Jun 17, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Jun 17, 2019.