| Buckelew Counseling Services | |
|
201 Alameda Del Prado Ste 201 Novato CA 94949-6698 | |
| (415) 491-5700 | |
| Not Available |
| Full Name | Buckelew Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 201 Alameda Del Prado Ste 201, Novato, California |
| Authorized Official Name and Position | John Christopher Kughn (CEO) |
| Authorized Official Contact | 4154576966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckelew Counseling Services 201 Alameda Del Prado Ste 103 Novato CA 94949-6698 Ph: (415) 457-6964 | Buckelew Counseling Services 201 Alameda Del Prado Ste 201 Novato CA 94949-6698 Ph: (415) 491-5700 |
| NPI Number | 1740537992 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 07/04/2023 |
| Certification Date | 07/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740537992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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