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Victoria Marie Basso, NCC, CCJTS

Counselor, Mental Health in Ormond Beach, FL. Individual provider (NPI-1).

NPI number1669942975
StatusActive
Last updated in NPPESNov 29, 2018

Details

NPI
1669942975
Entity type
Individual (NPI-1)
Name
Victoria Marie Basso
Credential
NCC, CCJTS
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 29, 2018
Last updated
Nov 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

533 N Nova Rd Ste 204
Ormond Beach, FL 32174-4422

Phone 386-898-5003

Mailing address

5400 Coraci Blvd Apt 10304
Port Orange, FL 32128-7589

Phone 410-991-8589

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