Organization
BUCKELEW PROGRAMS
Active
Other names
Buckelew Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHRISTOPHER KUGHN LMFT (CEO)
(415) 457-6966
Entity
Organization
Contact information
Practice address
201 ALAMEDA DEL PRADO STE 201, NOVATO, CA 94949-6698
(415) 491-5700
Mailing address
201 ALAMEDA DEL PRADO STE 103, NOVATO, CA 94949-6698
(415) 457-6964
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
07/04/2023
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