TATJANA MONIQUE BASURTO

SANTA ROSA, CA
NPI1275279416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT160111)
Additional Taxonomies101YM0800X Counselor, Mental Health
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-05-10
Last Update Date2026-01-30
Business Address
TATJANA MONIQUE BASURTO
341 IRWIN LN
SANTA ROSA, CA 95401-5603
Phone number: 707-576-7218
Mailing Address
TATJANA MONIQUE BASURTO
341 IRWIN LN
SANTA ROSA, CA 95401-5603
Phone number: 707-576-7218