Individual provider · Type 1 NPI

Conly Elizabeth Basham

Marriage & Family Therapist · El Cerrito, CA

NPI number 1407337850 Active

Practice location

11175 San Pablo Ave
El Cerrito, CA 94530-2157

Call (510) 559-5550 Map

Mailing address

2178 Ashby Ave Apt C
Berkeley, CA 94705-1836

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist Primary 106H00000XAMFT119075 (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 1407337850

Conly Elizabeth Basham's National Provider Identifier is 1407337850, issued on Aug 23, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in El Cerrito, CA. The record was last updated on May 22, 2020.