Michelle Rose Bashaw, MFT

NPI #1225309677 in Sebastopol, California

Provider Information

NPI Number
1225309677
Entity Type
Individual
Name
Michelle Rose Bashaw, MFT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MFT
Enumeration Date
Jan 17, 2012
Last Updated
Jan 17, 2012

Practice Location

Address
7385 HEALDSBURG AVE
Address 2
SUITE 203
ZIP Code
95472-3224
Phone
(707) 775-5909

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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