Individual provider · Type 1 NPI

Holly Erin Basom, LPC

Mental Health Counselor · St. Louis, MO

NPI number 1881740892 Active

Practice location

1430 Olive St Ste 400
St. Louis, MO 63103-2303

Call (314) 206-3700 Map

Fax (314) 206-3708

Mailing address

1430 Olive St, Suite 400
St. Louis, MO 63103-2303

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800X2014012314 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1881740892

Holly Erin Basom, LPC's National Provider Identifier is 1881740892, issued on Jan 25, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on Nov 29, 2021.