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MRS. KELLY MARIE DUGAICZYK M.S.

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1376879494

Individual Registrant:
MRS. KELLY MARIE DUGAICZYK M.S.
Gender: F
Sole Proprietor

Location and contact information for practice:
155 WILLOWBROOK DR  BEN LOMOND, CA 95005-9714 US
Tel: 831-336-5199  Fax: 831-336-1033

Contact information for business:
155 WILLOWBROOK DR  BEN LOMOND, CA 95005-9714 US
Tel: 831-336-5199  Fax: 831-336-1033

Registration Information:
NPI: 1376879494
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAIMF 55042

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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