Dolan Samuel Beaird
Counselor in Petaluma, CA. Individual provider (NPI-1).
NPI number1891925335
StatusActive
Last updated in NPPESJul 17, 2009
Details
- NPI
- 1891925335
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dolan Samuel Beaird
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2009
- Last updated
- Jul 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2037 Willow DrPetaluma, CA 94954-3842
Phone 707-291-2208 · Fax 707-778-1334
Mailing address
2037 Willow DrPetaluma, CA 94954-3842
Phone 707-291-2208 · Fax 707-778-1334
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