| Jennifer Basurto, Msw, Lcsw | |
|
1496 Solano Ave Albany CA 94706-2127 | |
| (510) 214-3167 | |
| Not Available |
| Full Name | Jennifer Basurto, Msw, Lcsw |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1496 Solano Ave, Albany, California |
| Authorized Official Name and Position | Jennifer Basurto (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5102143167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Basurto, Msw, Lcsw 1017 Talbot Ave Albany CA 94706-2331 Ph: (510) 517-3100 | Jennifer Basurto, Msw, Lcsw 1496 Solano Ave Albany CA 94706-2127 Ph: (510) 214-3167 |
| NPI Number | 1982201166 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982201166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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