Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Buckelew Program

Organization Mental Health Counselor · NPI 1649587874

Buckelew Program is a Mental Health Counselor in San Rafael, California. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

900 5th Ave
San Rafael, CA 94901-2959
Phone: (415) 457-6964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1649587874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katy Spense — Senior Site Manager · (415) 457-6964
NPI enumeratedSeptember 9, 2010
Last updated in NPPESSeptember 9, 2010
Mailing address900 5th Ave, San Rafael, CA 94901-2959

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