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Search › Missouri › 101YM0800X

Holly Basom, LPC

NPI 1881740892 · on the registry since 2007

Practice

Address
1430 Olive St Ste 400
Saint Louis, MO 63103
Phone
(314) 206-3700
Fax
(314) 206-3708
Organisation at this address
Affinia Healthcare
Genoa Healthcare Llc
Bjc Behavioral Health
Gateway Foundation, Inc.
Gateway Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
607

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
104100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-29

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 Missouri