Individual provider · Type 1 NPI

Regan Baudendistel

Counselor · Ross, CA

NPI number 1114558186 Active

Practice location

47 Sir Francis Drake Blvd
Ross, CA 94957-9601

Mailing address

PO Box 1446
Ross, CA 94957-1446

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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.

About NPI 1114558186

Regan Baudendistel's National Provider Identifier is 1114558186, issued on Jan 29, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ross, CA. The record was last updated on Jan 29, 2020.