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Contact Information

HOLLY E BASOM, LPC
1430 OLIVE ST STE 400
SAINT LOUIS, MO63103-2303
 Phone: 314-206-3700
 Fax: 314-206-3708
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for HOLLY E BASOM · (Female)

NPI Number 1881740892
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 01/25/2007
Last updated 11/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2014012314
  • MO Other 2014012314 LPC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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