Organization · Type 2 NPI

Buckelew Program

Mental Health Counselor · San Rafael, CA

NPI number 1649587874 Active

About NPI 1649587874

Buckelew Program's National Provider Identifier is 1649587874, issued on Sep 9, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Sep 9, 2010.