Individual
CAMILLE BULACLAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3569 LEXINGTON AVE, EL MONTE, CA 91731-2607
(626) 453-3399
Mailing address
165 N MICHIGAN AVE APT 315, PASADENA, CA 91106-1849
(949) 378-0967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
121323
CA
1041S0200X
School Social Worker
—
—
Other
Enumeration date
10/30/2019
Last updated
05/31/2024
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