Individual provider · Type 1 NPI
Michael Ray Bass, LPC, LMT
Professional Counselor · Austin, TX
NPI number
1952664559
Active
Practice location
13016 Amarillo Ave
Austin, TX 78729-7537
Mailing address
PO Box 27804
Austin, TX 78755-7804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 18721 (TX) |
| Mechanotherapist | 172M00000X | MT007325 (TX) |
Professional Counselor: Definition to come...
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About NPI 1952664559
Michael Ray Bass, LPC, LMT's National Provider Identifier is 1952664559, issued on Jun 19, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Jun 19, 2012.