SearchCalifornia101YM0800X

Shane Bulkley, LCSW

NPI 1306483920 · on the registry since 2019 · sole proprietor

Practice

Address
27955 Smyth Dr Ste 101
Valencia, CA 91355
Phone
(661) 310-1231
Organisation at this address
Thriving Lotus Family Therapy Group, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California