Doctor Name: | MS. VICTORIA MARIE BAUER |
NPI Number: | 1093845620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | MFC43150 |
Business Practice Address: | 3490 Buskirk Ave Suite A Pleasant Hill, CA - 945234316 |
Business Phone Number: | 9259445500 |
Business Fax Number: | |
Mailing Address: | 11 Birchwood Pl, MORAGA |
State: | CA |
Postal Code: | 945562308 |
Phone Number: | 9259445500 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC43150 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |