Kisha Bashkiharatee, PhD
Counselor, Professional in Loma Linda, CA. Individual provider (NPI-1).
NPI number1275076267
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1275076267
- Entity type
- Individual (NPI-1)
- Name
- Kisha Bashkiharatee
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2016
- Certification date
- Aug 15, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 10181 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 101YP2500X | Counselor, Professional | 1762 | CA |
Practice location
24691 Stewart StLoma Linda, CA 92354-2744
Phone 985-628-0682
Mailing address
24691 Stewart StLoma Linda, CA 92354-2744
Other practice locations
6700 Indiana Ave
Riverside, CA 92506-4290
Riverside, CA 92506-4290
Phone 909-599-1227
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