Individual provider · Type 1 NPI

Kerry Avery Bahadur, R-DMT

Mental Health Counselor · Hayward, CA

NPI number 1144524919 Active

Practice location

590 B St
Hayward, CA 94541-5004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1144524919

Kerry Avery Bahadur, R-DMT's National Provider Identifier is 1144524919, issued on Jan 7, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hayward, CA. The record was last updated on Jan 7, 2011.