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Eden Rose Lebold
Counselor in Novato, California
NPI 1427482348

Eden Rose Lebold is a Counselor based in Windsor, CA. Eden Rose Lebold practices in Novato, CA. The NPI Number for Eden Rose Lebold is 1427482348 and holds a License No. (California).

The current practice location address for Eden Rose Lebold is 201 Alameda Del Prado Ste 103, Novato, CA and can be reached out via phone at 415-457-6964.

Location: 201 Alameda Del Prado Ste 103, Novato, CA, 95492-9720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427482348
Provider Name
Eden Rose Lebold
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 Alameda Del Prado Ste 103, Novato, CA, 95492-9720
Phone Number
415-457-6964
Fax Number
Provider Enumeration Date
08/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Alameda Del Prado Ste 103
City
Novato
State
California
Zip
94949-6698
Phone Number
415-457-6964
Fax Number
person
Provider Business Mailing Address Details
Address
201 Alameda Del Prado Ste 103
City
Novato
State
California
Zip
94949-6698
Phone Number
415-457-6964
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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