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Individual
SID BOCALAN
Active
Individual
SID BOCALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
108075
CA
101YM0800X
Mental Health Counselor
Primary
ASW108075
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373781
—
CA
Enumeration date
04/25/2011
Last updated
07/30/2024
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