Deborah Bukolt
Deborah Bukolt is a Community/Behavioral Health Agency in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
2772 4th AveSan Diego, CA 92103-6206
Phone: (619) 295-6067
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1174843072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2010 |
| Last updated in NPPES | June 7, 2011 |
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