Charis Mae T. Bulosan
NPI #1457005076 in San Pedro, California
Provider Information
- NPI Number
- 1457005076
- Entity Type
- Individual
- Name
- Charis Mae T. Bulosan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Enumeration Date
- Feb 11, 2022
- Last Updated
- Apr 20, 2022
Practice Location
- Address
- 624 W 9TH ST STE 103
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-3158
- Phone
- (310) 775-3843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Psychologist |
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