Individual
MS. ALISA G COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRS
Contact information
Practice address
4600 47TH AVE, SUITE 111, SACRAMENTO, CA 95824-3923
(916) 393-1222
Mailing address
4600 47TH AVE, SUITE 111, SACRAMENTO, CA 95824-3923
(916) 393-1222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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