SearchVirginia1041C0700X

Colleen Basso, LCSW

NPI 1558082958 · on the registry since 2022 · sole proprietor

Practice

Address
815b Ambrose Ln
Manassas Park, VA 20111
Phone
(703) 517-3260

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-18

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 Virginia