Conly Elizabeth Basham
Conly Elizabeth Basham is a Mental Health Counselor in El Cerrito, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
11175 San Pablo AveEl Cerrito, CA 94530-2157
Phone: (510) 559-5550
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence AMFT119075 (CA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1407337850 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2018 |
| Last updated in NPPES | May 22, 2020 |
| Certification date | May 22, 2020 |
| Mailing address | 2178 Ashby Ave Apt C, Berkeley, CA 94705-1836 |
Other providers in El Cerrito
-
Connor Benefield
11175 San Pablo Ave, El Cerrito, CA 94530-2157 · (510) 559-5550
-
Julia Bernard
6727 Snowdon Ave, El Cerrito, CA 94530-1843 · (510) 232-3440
-
Mr. Johnny Edward Dewes
11175 San Pablo Ave, El Cerrito, CA 94530-2157 · (510) 559-5550
-
Lily Anne Fray
11175 San Pablo Ave, El Cerrito, CA 94530-2157 · (510) 779-2448