Individual provider · Type 1 NPI

Victoria Marie Basso, NCC, CCJTS

Mental Health Counselor · Ormond Beach, FL

NPI number 1669942975 Active

Practice location

533 N Nova Rd Ste 204
Ormond Beach, FL 32174-4422

Mailing address

5400 Coraci Blvd Apt 10304
Port Orange, FL 32128-7589

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669942975

Victoria Marie Basso, NCC, CCJTS's National Provider Identifier is 1669942975, issued on Nov 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ormond Beach, FL. The record was last updated on Nov 29, 2018.