Individual provider · Type 1 NPI

Elizabeth Basulto

Marriage & Family Therapist · Riverside, CA

NPI number 1265948087 Active · reactivated Mar 19, 2021

Practice location

9771 Indiana Ave
Riverside, CA 92503-5560

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT155125 (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 1265948087

Elizabeth Basulto's National Provider Identifier is 1265948087, issued on Dec 15, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Riverside, CA. The record was last updated on May 16, 2025.