DEMETRIST BASS

NEW YORK, NY
NPI1285411207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  C10502)
Enumeration Date2023-09-12
Last Update Date2023-09-12
Business Address
DEMETRIST BASS LCSW
320 W 37TH ST FL 5
NEW YORK, NY 10018-4252
Phone number: 228-343-7413
Mailing Address
DEMETRIST BASS LCSW
PO BOX 2424
GULFPORT, MS 39505-2424
Phone number: 228-343-7413