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MICHELLE JEANNE BAUMBACH

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1205025103

Individual Registrant:
 MICHELLE JEANNE BAUMBACH 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
425 PINE ST STE 2  GALT, CA 95632-2055 US
Tel: 209-745-3101  Fax: 209-745-7539

Contact information for business:
425 PINE ST STE 2  GALT, CA 95632-2055 US
Tel: 209-745-3101  Fax: 209-745-7539

Registration Information:
NPI: 1205025103
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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