SAMUEL SCOTT BASS

RALEIGH, NC
NPI1619320918
Other NameSCOTT BASS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: NC  LMFT 1702)
Enumeration Date2016-07-21
Last Update Date2016-07-21
Business Address
-- SAMUEL SCOTT BASS MS, MDiv, LMFT
4601 LAKE BOONE TRL SUITE 3B
RALEIGH, NC 27607-7503
Phone number: 919-760-5430
Mailing Address
-- SAMUEL SCOTT BASS MS, MDiv, LMFT
PO BOX 25032
RALEIGH, NC 27611-5032
Phone number: 919-760-5430
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