Individual
MS. MONIKA LASHELLE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110-4907
(619) 523-8121
Mailing address
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110-4907
(619) 523-8121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AMFT116920
CA
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3737810
—
CA
Enumeration date
11/13/2020
Last updated
11/04/2024
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