Individual
ALISA RUBY BASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
22741 PACIFIC COAST HWY STE 220, MALIBU, CA 90265-5097
(424) 570-1259
Mailing address
4004 ALABAMA ST, SAN DIEGO, CA 92104-2402
(833) 964-0134
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
47733
CA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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