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REBECA CRISTINA BACULPO LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1720545197
Individual Registrant: REBECA CRISTINA BACULPO LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1001 SNEATH LN STE 307 SAN BRUNO, CA 94066-2349 US
Tel: 650-244-1447 Fax: --
Tel: 650-244-1447 Fax: --
Contact information for business:
PO BOX 834 SAN LORENZO, CA 94580-0834 US
Tel: 415-225-4244 Fax: --
Tel: 415-225-4244 Fax: --
Registration Information:
NPI: 1720545197
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | LCSW64040 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
