Provider Demographics
NPI:1104387778
Name:BUGARIN CAMACHO, ADRIANA (LPCC)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:BUGARIN CAMACHO
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 PRIMROSE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4091
Mailing Address - Country:US
Mailing Address - Phone:415-580-1765
Mailing Address - Fax:
Practice Address - Street 1:405 PRIMROSE RD STE 208
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4091
Practice Address - Country:US
Practice Address - Phone:415-580-1765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC6038390200000X, 101Y00000X
CALPCC18256101YM0800X
101YM0800X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator