Individual provider · Type 1 NPI

Walter Albert Bogucki, CADC

Addiction (Substance Use Disorder) Counselor · Nampa, ID

NPI number 1104259027 Active

Practice location

508 E Florida Ave
Nampa, ID 83686-5823

Fax (208) 463-1507

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10067 (ID)

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

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About NPI 1104259027

Walter Albert Bogucki, CADC's National Provider Identifier is 1104259027, issued on Aug 14, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nampa, ID. The record was last updated on Aug 14, 2013.