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Roger Beaudry
Counselor in San Mateo, California
NPI 1912045832

Roger Beaudry is a Counselor based in South San Francisco, CA. Roger Beaudry practices in San Mateo, CA. The NPI Number for Roger Beaudry is 1912045832 and holds a License No. (California).

The current practice location address for Roger Beaudry is 1720 S Amphlett Blvd, San Mateo, CA and can be reached out via phone at 650-578-8691 and via fax at 650-578-8697. You can also correspond with Roger Beaudry through the mailing address at 118 ESCANYO DR, SOUTH SAN FRANCISCO, CA - 94080-4134 (mailing address contact number: 650-583-9120).

Location: 1720 S Amphlett Blvd, San Mateo, CA, 94080-4134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912045832
Provider Name
Roger Beaudry
Credential
Provider Entity Type
Individual
Gender
Male
Address
1720 S Amphlett Blvd, San Mateo, CA, 94080-4134
Phone Number
650-578-8691
Fax Number
650-578-8697
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1720 S Amphlett Blvd
City
San Mateo
State
California
Zip
94402-2702
Phone Number
650-578-8691
Fax Number
650-578-8697
person
Provider Business Mailing Address Details
Address
1720 S Amphlett Blvd
City
San Mateo
State
California
Zip
94402-2702
Phone Number
650-578-8691
Fax Number
650-578-8697
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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