Buckelew Program
NPI #1649587874 in San Rafael, California
Provider Information
- NPI Number
- 1649587874
- Entity Type
- Organization
- Organization Name
- Buckelew Program
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 9, 2010
- Last Updated
- Sep 9, 2010
Practice Location
- Address
- 900 5TH AVE
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-2959
- Phone
- (415) 457-6964
Authorized Official
- Name
- MS. KATY SPENSE
- Title
- SENIOR SITE MANAGER
- Phone
- (415) 457-6964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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