Individual provider · Type 1 NPI
Michael Bogren
Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA
NPI number
1013133644
Active
Practice location
1400 Emeline St, Bldg K (3RD Floor)
Santa Cruz, CA 95060-5320
Fax (831) 454-4747
Other practice locations
- 191 Harvey West Blvd, Santa Cruz, CA 95060-2126 · (831) 469-1700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A02820315 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1013133644
Michael Bogren's National Provider Identifier is 1013133644, issued on Apr 18, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Jan 16, 2019.