Individual provider · Type 1 NPI

Roger Beaudry

Counselor · San Mateo, CA

NPI number 1912045832 Active

Practice location

1720 S Amphlett Blvd, Suite 123
San Mateo, CA 94402-2702

Call (650) 578-8691 Map

Fax (650) 578-8697

Mailing address

118 Escanyo Dr
South San Francisco, CA 94080-4134

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.

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About NPI 1912045832

Roger Beaudry's National Provider Identifier is 1912045832, issued on Feb 2, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Mateo, CA. The record was last updated on Jul 8, 2007.