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MS. KIRSTEN BETTENDORF

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1679887780

Individual Registrant:
MS. KIRSTEN  BETTENDORF 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
33 BUCHANAN DR  SAUSALITO, CA 94965-1650 US
Tel: 415-331-6161  Fax: --

Contact information for business:
33 BUCHANAN DR  SAUSALITO, CA 94965-1650 US
Tel: 415-331-6161  Fax: --

Registration Information:
NPI: 1679887780
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA61765

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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