Individual provider · Type 1 NPI
Javonte Bass
Professional Counselor · Durham, NC
NPI number
1750826764
Active
Practice location
3500 Westgate Dr Ste 604
Durham, NC 27707-2534
Mailing address
6605 Lake Hill Dr Apt E
Raleigh, NC 27609-3457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | A12621 (NC) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1750826764
Javonte Bass's National Provider Identifier is 1750826764, issued on Dec 29, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Durham, NC. The record was last updated on Dec 29, 2016.