Robert Dennis Bordeaux, MFTI Valid NPI
Individual provider · Mental Health Counselor · San Rafael, CA
- NPI
- 1629173505
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 65658 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-09-14
- Last updated
- 2011-12-01
Practice location
3270 Kerner Blvd
San Rafael, CA 94901-4840
(415) 499-7412