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

Individual provider Counselor · NPI 1114558186

Regan Baudendistel is a Counselor in Ross, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

47 Sir Francis Drake Blvd
Ross, CA 94957-9601
Phone: (818) 926-8401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1114558186
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 29, 2020
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020