Individual provider · Type 1 NPI

Deidra Bass

Mental Health Counselor · Port St. Lucie, FL

NPI number 1851749857 Active

Practice location

525 NW Lake Whitney Pl
Port St. Lucie, FL 34986-1605

Call (772) 446-1148 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X900341538 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1851749857

Deidra Bass's National Provider Identifier is 1851749857, issued on May 31, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port St. Lucie, FL. The record was last updated on May 31, 2016.