Provider Demographics
NPI:1902960867
Name:BUCHANAN, BET (LMFT)
Entity type:Individual
Prefix:
First Name:BET
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:666 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-4245
Mailing Address - Country:US
Mailing Address - Phone:707-575-9166
Mailing Address - Fax:707-528-2279
Practice Address - Street 1:2100 GENG RD STE 210
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-3307
Practice Address - Country:US
Practice Address - Phone:833-646-3243
Practice Address - Fax:707-528-2279
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist