SearchIdaho1041C0700X

Latoria Bass, LCSW

NPI 1497064760 · on the registry since 2010 · sole proprietor

Practice

Address
444 W Fort St Fl 2
Boise, ID 83702
Phone
(208) 422-1018
Clinicians at this address
58

Additional practice sites

  • 2411 Anita St, Houston, TX

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
390200000X
Licence states on file
NY, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho