Individual provider · Type 1 NPI
Lourdes Amalia Vargas-Bogardus, LMFT
Mental Health Counselor · San Rafael, CA
NPI number
1750468104
Active
Practice location
1368 Lincoln Ave Suite 212
San Rafael, CA 94901
Mailing address
PO Box 557
Navato, CA 94948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LMFT36776 (CA) |
| Mental Health Counselor | 101YM0800X | MFC36776 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1750468104
Lourdes Amalia Vargas-Bogardus, LMFT's National Provider Identifier is 1750468104, issued on Nov 1, 2006. 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 Feb 14, 2024.