Raelynn Bass's National Provider Identifier (NPI) Details
Raelynn Bass, LPC
NPI: 1245643964
Enumeration Date: 2014-06-10
Last updated: 2016-10-12
Sole Proprietor: YES
Status: active
Postal Address: 881 PONCE DE LEON AVE NE, SUITE #8, ATLANTA, GA
Phone: 404-808-7919
Primary Practice Address: 881 PONCE DE LEON AVE NE, SUITE #8, ATLANTA, GA
Practice's phone: 404-808-7919