| Mrs Kandice Renee Bass, MS | |
|
812 Highway 11 S, Ellisville, MS 39437-3508 | |
| (601) 643-9815 | |
| Not Available |
| Full Name | Mrs Kandice Renee Bass |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 812 Highway 11 S, Ellisville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073701744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1486 (Mississippi) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Mississippi) | Secondary |
| 101YP2500X | Counselor - Professional | 1486 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kandice Renee Bass, MS 7 Jo Rd, Ellisville, MS 39437-4503 Ph: (601) 270-0663 | Mrs Kandice Renee Bass, MS 812 Highway 11 S, Ellisville, MS 39437-3508 Ph: (601) 643-9815 |
Leighanne Kittrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921 Fax: 601-649-7939 | |
Danielle Porter, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-425-3439 | |
Nancy Keys, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-779-2487 | |
Marilyn Smith, CIDDT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-425-3439 Fax: 601-649-7939 | |
Sartora D Richardson-wasp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921 | |
Edie Nicholson, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921 |