Individual provider · NPI-1

Elizabeth Concordia Basile, M.A.

Marriage & Family Therapist · Mountain View, CA

NPI number1790061497
StatusActive
Last updated in NPPESOct 25, 2011

Details

NPI
1790061497
Entity type
Individual (NPI-1)
Name
Elizabeth Concordia Basile
Credential
M.A.
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 25, 2011
Last updated
Oct 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistMFC48300CAYes

Practice location

201 San Antonio Cir
Suite C-125
Mountain View, CA 94040-1254

Phone 408-718-6915

Mailing address

201 San Antonio Cir
Suite C-125
Mountain View, CA 94040-1254

Phone 408-718-6915

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