Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charis Mae T. Bulosan

Individual provider Mental Health Counselor · NPI 1457005076

Charis Mae T. Bulosan is a Mental Health Counselor in San Pedro, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

624 W 9th St Ste 103
San Pedro, CA 90731-3158
Phone: (310) 775-3843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1457005076
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 11, 2022
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022

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