Bukosky, Jorin

Bukosky, Jorin is an individual health care provider with primary practice located at 795 Willow Rd (321 / C-128), Menlo Park CA 94025. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bukosky, Jorin can be contacted via phone (650) 493-5000.

Contact Information

Primary practice address
795 Willow Rd (321 / C-128) Menlo Park CA 94025
Phone: (650) 493-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 86083 California

Profile Details

NPI number 1992038681
LBN Legal business name Bukosky, Jorin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2009
Last updated Apr 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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