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Elizabeth Bass

Case Manager/Care Coordinator in Wasilla, AK. Individual provider (NPI-1).

NPI number1376293167
StatusActive
Last updated in NPPESFeb 26, 2025

Details

NPI
1376293167
Entity type
Individual (NPI-1)
Name
Elizabeth Bass
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2022
Certification date
Feb 26, 2025
Last updated
Feb 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YM0800X Counselor, Mental Health––

Practice location

7010 E Bogard Rd
Wasilla, AK 99654-4711

Phone 907-373-4732

Mailing address

7010 E Bogard Rd
Wasilla, AK 99654-4711

Phone 907-373-4732

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