Provider Demographics
NPI:1295128486
Name:BASS, ARIN (LMFT)
Entity type:Individual
Prefix:
First Name:ARIN
Middle Name:
Last Name:BASS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ARIN
Other - Middle Name:BASS
Other - Last Name:LASOFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:449 35TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-1609
Mailing Address - Country:US
Mailing Address - Phone:216-536-8873
Mailing Address - Fax:
Practice Address - Street 1:3150 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2464
Practice Address - Country:US
Practice Address - Phone:216-536-8873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83366106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist