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NPI Code Detail

MEDICARE: MS. SASHA ANITRA BASS MS, RMHCI

MEDICARE: MS. SASHA ANITRA BASS MS, RMHCI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorIMH23879FL

General Provider Information

NPI Number : 1568271120
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SASHA ANITRA BASS MS, RMHCI
Provider Business Mailing Address
First Line : 2878 THOMAS ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32254-4077
Country : US
Telephone Number : 904-708-2789
Fax Number :
Provider Business Practice Location Address
First Line : 1904 FARRAGUT PL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3420
Country : US
Telephone Number : 904-749-0114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2025
Last Update Date : 01/07/2025

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