Individual provider · Type 1 NPI

Lauren Bactad

Mental Health Counselor · San Mateo, CA

NPI number 1669997177 Active

Practice location

2600 S El Camino Real
San Mateo, CA 94403-2380

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1669997177

Lauren Bactad's National Provider Identifier is 1669997177, issued on Aug 4, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Mateo, CA. The record was last updated on Aug 4, 2017.