Individual
GINNY BAHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1206 3RD ST STE 4, SAN RAFAEL, CA 94901-3048
(415) 450-1149
(415) 727-1010
Mailing address
PO BOX 151306, SAN RAFAEL, CA 94915-1306
(415) 450-1149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2256
CA
101YP2500X
Professional Counselor
5003
CO
Other
Enumeration date
08/15/2016
Last updated
07/21/2022
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