Organization
BUCKELEW PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J. CHRIS KUGHN LMFT (CEO)
(415) 457-6961
Entity
Organization
Contact information
Practice address
30 JOSEPH CT, SAN RAFAEL, CA 94903-2664
(415) 457-6961
Mailing address
30 JOSEPH CT, SAN RAFAEL, CA 94903-2664
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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