Provider Demographics
NPI:1467671156
Name:BASSETT, CHRIS (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CHRIS
Middle Name:
Last Name:BASSETT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 E PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1110
Mailing Address - Country:US
Mailing Address - Phone:970-484-1735
Mailing Address - Fax:970-223-6675
Practice Address - Street 1:921 E PROSPECT RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1110
Practice Address - Country:US
Practice Address - Phone:970-484-1735
Practice Address - Fax:970-223-6675
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO698106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist