Provider Demographics
NPI:1871252338
Name:BASSETT, DEBRA JEAN (EDS, NLC, MFTC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JEAN
Last Name:BASSETT
Suffix:
Gender:F
Credentials:EDS, NLC, MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16473 E HIALEAH DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4113
Mailing Address - Country:US
Mailing Address - Phone:720-220-5138
Mailing Address - Fax:
Practice Address - Street 1:16473 E HIALEAH DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-4113
Practice Address - Country:US
Practice Address - Phone:720-220-5138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional