CONLY ELIZABETH BASHAM

EL CERRITO, CA
NPI1407337850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  AMFT119075)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-08-23
Last Update Date2020-05-22
Business Address
CONLY ELIZABETH BASHAM
11175 SAN PABLO AVE
EL CERRITO, CA 94530-2157
Phone number: 510-559-5550
Mailing Address
CONLY ELIZABETH BASHAM
2178 ASHBY AVE APT C
BERKELEY, CA 94705-1836
Phone number: 501-920-0671