Traci Richele Bass in Fairfield - Addiction (substance Use Disorder)

Traci Richele Bass - NPI 1275705873

Traci Richele Bass is a Addiction (substance Use Disorder) in Fairfield, California. Traci Richele Bass practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Traci Richele Bass is 1275705873. The last update date is 2015-09-21.

Traci Richele Bass's current location address is 24 El Dorado Ct, Fairfield, California. You can contact this provider via phone number 7077462605. The mailing address for Traci Richele Bass is 24 El Dorado Ct, Fairfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Traci Richele Bass
Address 24 El Dorado Ct, Fairfield, California
Phone Number 7077462605
Fax Number
Sole Proprietor N
Credentials CERTIFICAT

NPI Number Detail

NPI Number 1275705873
Provider Enumeration Date 2008-03-24
Last Updated Date 2015-09-21

Provider Mailing Address Detail

Address 24 El Dorado Ct
City Fairfield
State California (CA)
Post Code 945332232
Phone Number 7077462605
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Traci Richele Bass

What is the unique identifier code issued to Traci Richele Bass by the Centers for Medicare & Medicaid Services (CMS)?

The Traci Richele Bass has been assigned the NPI (National Provider Identifier) 1275705873. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Traci Richele Bass is located?

The Traci Richele Bass is situated at the following address: 24 El Dorado Ct, Fairfield, CA, 945332232.

What is Traci Richele Bass's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Traci Richele Bass is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1275705873 to Traci Richele Bass?

The Traci Richele Bass received its 1275705873 assignment from the Centers for Medicare & Medicaid Services on 2008-03-24.

As of what date were the details related to Traci Richele Bass most recently updated or revised?

The information pertaining to Traci Richele Bass, including its address, specialty, and other relevant details, was last updated or revised on 2015-09-21.

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