Bukosky, Jorin
Bukosky, Jorin is an individual health care provider with primary practice located at 795 Willow Rd (321 / C-128), Menlo Park CA 94025. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bukosky, Jorin can be contacted via phone (650) 493-5000.Contact Information
Primary practice address
795 Willow Rd (321 / C-128)
Menlo Park CA 94025
Phone: (650) 493-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 86083 | California |
Profile Details
| NPI number | 1992038681 |
|---|---|
| LBN Legal business name | Bukosky, Jorin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2009 |
| Last updated | Apr 3rd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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