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NPI Code Detail

MEDICARE: JAMES BASS LMFT

MEDICARE:   JAMES  BASS  LMFT
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
1106H00000XMarriage & Family Therapist203046TX

General Provider Information

NPI Number : 1720680192
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES BASS LMFT
Provider Business Mailing Address
First Line : 2211 MONTCLAIR DR
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-5511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 920 18TH ST
Second Line :
City : PLANO
State : TX
Zip : 75074-5831
Country : US
Telephone Number : 817-507-6451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2020
Last Update Date : 11/11/2020

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Directions to “ JAMES BASS LMFT” Practice Location

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