MR. John Basie

NPI #1265849046 in Fort Mill, South Carolina

Provider Information

NPI Number: 1265849046
Entity Type: Individual
Name: MR. John Basie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 14, 2014
Last Updated: Jul 14, 2014

Practice Location

Address: 1190 GOLD HILL RD
City: Fort Mill
State: South Carolina
ZIP Code: 29708-8977
Phone: (803) 493-7272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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