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Individual
DR. BRIDGET LETICIA BANDA
Active
Individual
DR. BRIDGET LETICIA BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., MS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
AMFT154406
CA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
IMF42123
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
NA
—
Other
Enumeration date
02/08/2007
Last updated
04/07/2025
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