DEBORAH BUKOLT

SAN DIEGO, CA
NPI1174843072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2010-06-03
Last Update Date2011-06-07
Business Address
-- DEBORAH BUKOLT
2772 4TH AVE
SAN DIEGO, CA 92103-6206
Phone number: 619-295-6067
Mailing Address
-- DEBORAH BUKOLT
355 C AVE
CORONADO, CA 92118-1405
Phone number: 619-319-7789