Mr. Kevin Hurley Bascom
Mr. Kevin Hurley Bascom is a Mental Health Counselor in San Luis Obispo, California. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
277 S St Ste YSan Luis Obispo, CA 93401-5039
Phone: (805) 541-5144
Fax: (805) 541-9480
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1184850125 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2009 |
| Last updated in NPPES | June 4, 2009 |
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