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Sid Bocalan
Mental Health Counselor in San Diego, California
NPI 1982995072

Sid Bocalan is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Sid Bocalan practices in San Diego, CA. The NPI Number for Sid Bocalan is 1982995072 and holds a License No. (California).

The current practice location address for Sid Bocalan is 3340 Kemper St Ste 105, San Diego, CA and can be reached out via phone at 619-523-8121.

Location: 3340 Kemper St Ste 105, San Diego, CA, 92110-4907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982995072
Provider Name
Sid Bocalan
Credential
Provider Entity Type
Individual
Gender
Male
Address
3340 Kemper St Ste 105, San Diego, CA, 92110-4907
Phone Number
619-523-8121
Fax Number
Provider Enumeration Date
04/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
373781 05 CA
institution
Provider Business Practice Location Address Details
Address
3340 Kemper St Ste 105
City
San Diego
State
California
Zip
92110-4907
Phone Number
619-523-8121
Fax Number
person
Provider Business Mailing Address Details
Address
3340 Kemper St Ste 105
City
San Diego
State
California
Zip
92110-4907
Phone Number
619-523-8121
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW108075 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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