Individual
MS. SHEILA BUCALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2600 E SOUTHERN AVE STE G1, TEMPE, AZ 85282-7610
(480) 409-0322
(877) 559-2816
Mailing address
PO BOX 51081, MESA, AZ 85208-0055
(480) 542-4668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
06/28/2021
Last updated
06/28/2021
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