MR. KEVIN HURLEY BASCOM
NPI 1184850125
Counselor - Mental Health in San Luis Obispo, CA
Active since June 04, 2009
277 SOUTH ST STE Y, SAN LUIS OBISPO, CA 93401(805) 541-5144(805) 541-9480 Get Directions Write a Review
About Mr. Kevin Hurley Bascom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEVIN HURLEY BASCOM (NPI 1184850125) is an individual mental health provider in San Luis Obispo, California and active in the NPI registry since June 2009.
NPPES Registry Identity
NPI1184850125
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KEVIN HURLEY BASCOM
Location Address277 SOUTH ST STE YSan Luis Obispo, CA 93401-5039
Mailing AddressPo Box 15408San Luis Obispo, CA 93406-5408 · (805) 541-5144 · Fax (805) 541-9480
Phone(805) 541-5144
Fax(805) 541-9480
Sole ProprietorNo
Enumeration DateJune 4, 2009
✔ NPI 1184850125 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
277 SOUTH ST STE Y, San Luis Obispo, CA 93401
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184850125, enumerated as an "individual" on June 04, 2009.
The provider is located at 277 SOUTH ST STE Y SAN LUIS OBISPO, CA 93401 and the phone number is (805) 541-5144.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
