Individual
ASHLEY COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13666 E 14TH ST, SAN LEANDRO, CA 94578-2538
(510) 357-5515
(510) 357-5512
Mailing address
13666 E 14TH ST, SAN LEANDRO, CA 94578-2538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2010
Last updated
08/29/2010
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