Individual provider · Type 1 NPI

Alisa G. Coburn, MHRS

Mental Health Counselor · Sacramento, CA

NPI number 1184754780 Active

Practice location

4600 47th Ave, Suite 111
Sacramento, CA 95824-3923

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1184754780

Alisa G. Coburn, MHRS's National Provider Identifier is 1184754780, issued on Mar 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sacramento, CA. The record was last updated on Jul 8, 2007.