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Individual

DR. BRIDGET LETICIA BANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., MS

Contact information

Practice address
7200 BANCROFT AVE STE 125B, OAKLAND, CA 94605-2456
(510) 777-4240
Mailing address
325 WESTLAKE CENTER, DALY CITY, CA 94015-1301

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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