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MS. RUBELYNN BOCOG
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1922472273
Individual Registrant:MS. RUBELYNN BOCOG
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
508 7TH AVE SAN BRUNO, CA 94066-4522 US
Tel: 650-204-3113 Fax: 650-634-8717
Tel: 650-204-3113 Fax: 650-634-8717
Contact information for business:
1001 SNEATH LN STE 307 SAN BRUNO, CA 94066-2349 US
Tel: 650-244-1444 Fax: 650-244-1447
Tel: 650-244-1444 Fax: 650-244-1447
Registration Information:
NPI: 1922472273
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| THE LATINO COMMISSION | 38472 | CA | 01 |
