Individual provider · Type 1 NPI
Jay Vandenbogaard, M.S., NCC, CADC III
Addiction (Substance Use Disorder) Counselor · Albany, OR
NPI number
1093022345
Active
Practice location
2225 Pacific Boulevard SE, Suite 207
Albany, OR 97321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | R1427 (OR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 07-12-61 (OR) |
| Mental Health Counselor | 101YM0800X | R1427 (OR) |
| Professional Counselor | 101YP2500X | R1427 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1093022345
Jay Vandenbogaard, M.S., NCC, CADC III's National Provider Identifier is 1093022345, issued on Sep 8, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albany, OR. The record was last updated on Sep 8, 2010.