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Maria Luisa Buckallew

Counselor, Mental Health in Campbell, CA. Individual provider (NPI-1).

NPI number1992017750
StatusActive
Last updated in NPPESOct 13, 2010

Details

NPI
1992017750
Entity type
Individual (NPI-1)
Name
Maria Luisa Buckallew
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2010
Last updated
Oct 13, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

251 Llewellyn Avenue
Campbell, CA 95008-1940

Phone 408-379-3790 · Fax 408-364-4013

Mailing address

251 Llewellyn Avenue
Campbell, CA 95008-1940

Phone 408-379-3790 · Fax 408-364-4013

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