Individual provider · Type 1 NPI

Ashley Coburn, PhD

Mental Health Counselor · San Leandro, CA

NPI number 1770899643 Active

Practice location

13666 E 14th St
San Leandro, CA 94578-2538

Call (510) 357-5515 Map

Fax (510) 357-5512

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770899643

Ashley Coburn, PhD's National Provider Identifier is 1770899643, issued on Aug 29, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Aug 29, 2010.