Shana Bujake, Amft
Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1013665579
StatusActive
Last updated in NPPESMar 14, 2022
Details
- NPI
- 1013665579
- Entity type
- Individual (NPI-1)
- Name
- Shana Bujake
- Credential
- Amft
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2022
- Certification date
- Feb 15, 2022
- Last updated
- Mar 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 130194 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | 115976 | CA | |
| 106H00000X | Marriage & Family Therapist | AMFT130194 | CA |
Practice location
11710 San Vicente BlvdLos Angeles, CA 90049-5006
Phone 855-651-1580
Mailing address
11710 San Vicente BlvdLos Angeles, CA 90049-5006
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