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Organization
WITHIN REACH PSYCHOTHERAPY LCSW, INC
Active
Organization
WITHIN REACH PSYCHOTHERAPY LCSW, INC
Active
Other names
Within Reach Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
JORIN BUKOSKY LCSW (DIRECTOR)
(510) 833-6074
Entity
Organization
Contact information
Practice address
3321 SHELTER CREEK LN, SAN BRUNO, CA 94066-6029
(510) 833-6074
Mailing address
2930 DOMINGO AVE # 1181, BERKELEY, CA 94705-2454
(510) 833-6074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114334687
—
CA
05
—
1790284115
—
CA
Enumeration date
01/28/2022
Last updated
01/28/2022
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