ANGELA BASSETT

COTTONWOOD, AZ
NPI1265015143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC15212)
Enumeration Date2021-04-29
Last Update Date2021-04-29
Business Address
ANGELA BASSETT
8 E COTTONWOOD ST
COTTONWOOD, AZ 86326-4382
Phone number: 877-634-7333
Mailing Address
ANGELA BASSETT
8 E COTTONWOOD ST
COTTONWOOD, AZ 86326-4382
Phone number: 877-634-7333