Individual provider · Type 1 NPI

James Bagwell Iv

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1134598717 Active

Practice location

1733 Euclid Ave
San Diego, CA 92105-5414

Call (619) 263-0433 Map

Fax (619) 263-3992

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6329I (CA)

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

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About NPI 1134598717

James Bagwell Iv's National Provider Identifier is 1134598717, issued on Sep 24, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Sep 24, 2015.