Individual provider · Type 1 NPI

Tangela Dion Watson-Bogan

Addiction (Substance Use Disorder) Counselor · Buffalo, NY

NPI number 1255663290 Active

Practice location

425 Michigan Ave
Buffalo, NY 14203-2209

Fax (716) 848-2112

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1255663290

Tangela Dion Watson-Bogan's National Provider Identifier is 1255663290, issued on Feb 2, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Buffalo, NY. The record was last updated on Feb 2, 2010.