Individual provider · Type 1 NPI
Machelle Outlaw Bass, LPC
Professional Counselor · Mount Olive, NC
NPI number
1669427845
Active
Practice location
1010 N Breazeale Ave Unit C, Unit E
Mount Olive, NC 28365-1106
Fax (919) 658-7509
Mailing address
191 Five Points Rd
Dudley, NC 28333-5261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3563 (NC) |
Professional Counselor: Definition to come...
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About NPI 1669427845
Machelle Outlaw Bass, LPC's National Provider Identifier is 1669427845, issued on May 24, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mount Olive, NC. The record was last updated on Oct 29, 2013.