Provider Demographics
NPI:1518555325
Name:BUGAY, JOEL SALDANA (LMFT)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:SALDANA
Last Name:BUGAY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 YUMA TERRACE CT
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3729
Mailing Address - Country:US
Mailing Address - Phone:951-515-7545
Mailing Address - Fax:
Practice Address - Street 1:6620 YUMA TERRACE CT
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-3729
Practice Address - Country:US
Practice Address - Phone:951-515-7545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86388106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist