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Buckelew Program
Mental Health Counselor in San Rafael, California
NPI 1649587874

Buckelew Program is a Mental Health Counselor based in San Rafael, CA and is specialized in Mental Health. Buckelew Program practices in San Rafael, CA. The NPI Number for Buckelew Program is 1649587874 and holds a License No. (California).

The current practice location address for Buckelew Program is 900 5Th Ave, San Rafael, CA and can be reached out via phone at 415-457-6964.

Location: 900 5Th Ave, San Rafael, CA, 94901-2959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649587874
Provider Name
Buckelew Program
Credential
Provider Entity Type
Organization
Address
900 5Th Ave, San Rafael, CA, 94901-2959
Phone Number
415-457-6964
Fax Number
Provider Enumeration Date
09/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 5Th Ave
City
San Rafael
State
California
Zip
94901-2959
Phone Number
415-457-6964
Fax Number
person
Provider Business Mailing Address Details
Address
900 5Th Ave
City
San Rafael
State
California
Zip
94901-2959
Phone Number
415-457-6964
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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