Individual provider · Type 1 NPI

Jeffrey Michael Bukolt

Mental Health Counselor · Worcester, MA

NPI number 1306090048 Active

Practice location

340 Main St Ste 383
Worcester, MA 01608-1694

Call (508) 791-4976 Map

Mailing address

951 W 1st St
Oil City, PA 16301-3162

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306090048

Jeffrey Michael Bukolt's National Provider Identifier is 1306090048, issued on Nov 7, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Nov 7, 2008.