Individual provider · Type 1 NPI

Larry Bernard Boglin

Addiction (Substance Use Disorder) Counselor · Compton, CA

NPI number 1063644763 Active

Practice location

369 W Compton Blvd
Compton, CA 90220-3110

Call (310) 603-6555 Map

Mailing address

369 W. Compton Blvd
Compton, CA 90220

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X081793 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063644763

Larry Bernard Boglin's National Provider Identifier is 1063644763, issued on Aug 13, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Compton, CA. The record was last updated on Aug 13, 2009.