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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL MARIE BETTENHAUSEN-BUBULKA, HI LCSW 4606

Active Sole Proprietor

CRYSTAL MARIE BETTENHAUSEN-BUBULKA, HI LCSW 4606 is a Clinical Social Worker healthcare provider located in SAN DIEGO, California. NPI 1790377067 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SAN DIEGO, CA

Registration Details

NPI Number
1790377067
Provider Type
Individual
Gender
Female
NPI Issued
Feb 9, 2021 (5.5035601863843 yrs)
Last Updated
Dec 31, 2021
Licenses
4606 (HI)
LCSW100639 (CA)
Sole Proprietor
Yes

Practice Information

Address
1050 KETTNER BLVD STE D
SAN DIEGO, CA, 921013339
Browse CA providers · Browse ZIP 92101
Phone
8083197896
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in SAN DIEGO, CA

Name Credential NPI
MR. MICHAEL HAMMER MSW 1861491292
DEBRA BLAY HOLMES LCSW 1932192531
MS. RHONDA MASON LCSW 1366436503
LISA GRAFF-MARSH LCSW 1588659080
JERYL KALINOWSKI LCSW 1811982697
KAREN LOUISE RITTER LCSW 1790775781
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.