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Organization
JENNIFER BASURTO, MSW, LCSW
Active
Organization
JENNIFER BASURTO, MSW, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BASURTO MSW, LCSW (PSYCHOTHERAPIST)
(510) 214-3167
Entity
Organization
Contact information
Practice address
1496 SOLANO AVE, ALBANY, CA 94706-2127
(510) 214-3167
Mailing address
1017 TALBOT AVE, ALBANY, CA 94706-2331
(510) 517-3100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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