Deborah Bukolt
NPI #1174843072 in San Diego, California
Provider Information
- NPI Number
- 1174843072
- Entity Type
- Individual
- Name
- Deborah Bukolt
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 3, 2010
- Last Updated
- Jun 7, 2011
Practice Location
- Address
- 2772 4TH AVE
- City
- San Diego
- State
- California
- ZIP Code
- 92103-6206
- Phone
- (619) 295-6067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Counselor - Mental Health — Mental Health |
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