Coburn, Bethany Basinger

Coburn, Bethany Basinger is an sole proprietor health care provider with primary practice located at 1627 Oak Ave Ste C , Davis CA 95616-1072. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coburn, Bethany Basinger can be contacted via phone (773) 678-9975.

Contact Information

Primary practice address
1627 Oak Ave Ste C Davis CA 95616-1072
Phone: (773) 678-9975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 61298 California

Profile Details

NPI number 1912565524
LBN Legal business name Coburn, Bethany Basinger
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2019
Last updated May 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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