Healthcare Provider Details

I. General information

NPI: 1598608507
Provider Name (Legal Business Name): DAVID BUECHNER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 LINCOLN AVE STE 201
SAN RAFAEL CA
94901-2142
US

IV. Provider business mailing address

2929 ROOSEVELT AVE
RICHMOND CA
94804-1541
US

V. Phone/Fax

Practice location:
  • Phone: 415-459-5999
  • Fax:
Mailing address:
  • Phone: 415-755-3338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT162644
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: