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Regan Baudendistel
Counselor in Ross, California
NPI 1114558186

Regan Baudendistel is a Counselor based in Ross, CA. Regan Baudendistel practices in Ross, CA. The NPI Number for Regan Baudendistel is 1114558186 and holds a License No. (California).

The current practice location address for Regan Baudendistel is 47 Sir Francis Drake Blvd, Ross, CA and can be reached out via phone at 818-926-8401.

Location: 47 Sir Francis Drake Blvd, Ross, CA, 94957-1446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114558186
Provider Name
Regan Baudendistel
Credential
Provider Entity Type
Individual
Gender
Male
Address
47 Sir Francis Drake Blvd, Ross, CA, 94957-1446
Phone Number
818-926-8401
Fax Number
Provider Enumeration Date
01/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
47 Sir Francis Drake Blvd
City
Ross
State
California
Zip
94957-9601
Phone Number
818-926-8401
Fax Number
person
Provider Business Mailing Address Details
Address
47 Sir Francis Drake Blvd
City
Ross
State
California
Zip
94957-9601
Phone Number
818-926-8401
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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