Jennifer Basurto, Msw, Lcsw
Counselor, Mental Health in Albany, CA. Organization (NPI-2).
NPI number1982201166
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1982201166
- Entity type
- Organization (NPI-2)
- Legal business name
- Jennifer Basurto, Msw, Lcsw
- Organization subpart
- No
- Enumeration date
- Oct 1, 2020
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
1496 Solano AveAlbany, CA 94706-2127
Phone 510-214-3167
Mailing address
1017 Talbot AveAlbany, CA 94706-2331
Phone 510-517-3100
Authorized official
Jennifer Basurto
Psychotherapist
5102143167
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