Banegas, Genevieve Marilyn

Banegas, Genevieve Marilyn is an individual health care provider with primary practice located at 205 South St , Fort Bragg CA 95437. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Banegas, Genevieve Marilyn can be contacted via phone (707) 961-3492.

Contact Information

Primary practice address
205 South St Fort Bragg CA 95437
Phone: (707) 961-3492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 77553 California

Profile Details

NPI number 1821340480
LBN Legal business name Banegas, Genevieve Marilyn
Credentials LCSW, PPSC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2012
Last updated Aug 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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