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Search › California › 1041C0700X

Camille Bulaclac, LCSW

NPI 1255975546 · on the registry since 2019 · sole proprietor

Practice

Address
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054
Phone
(323) 205-7088
Organisation at this address
Cucumber Wellness, Inc.
El Roble Home Care, Llc
Agathos Laboratories, Inc.
Brian Licorish Psychiatry Llc
Mental Health Specialty Group Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
242

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
1041S0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-14

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