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Individual

MR. ALEX BASCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
830 MENLO AVE STE 210, MENLO PARK, CA 94025-4734
(408) 372-6047
Mailing address
830 MENLO AVE STE 210, MENLO PARK, CA 94025-4734
(408) 372-6047

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary
113107
CA
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113107
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
06/24/2013
Last updated
10/01/2024
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