Individual provider · Type 1 NPI

Michelle Rose Bashaw, MFT

Marriage & Family Therapist · Sebastopol, CA

NPI number 1225309677 Active

Practice location

7385 Healdsburg Ave, Suite 203
Sebastopol, CA 95472-3224

Mailing address

PO Box 1662
Sebastopol, CA 95473-1662

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC 41623 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1225309677

Michelle Rose Bashaw, MFT's National Provider Identifier is 1225309677, issued on Jan 17, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Sebastopol, CA. The record was last updated on Jan 17, 2012.