Individual provider · Type 1 NPI
Matthew Paul Boga
Mental Health Counselor · Stockton, CA
NPI number
1356757876
Active
Practice location
445 N San Joaquin St
Stockton, CA 95202-2026
Fax (209) 444-8905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1356757876
Matthew Paul Boga's National Provider Identifier is 1356757876, issued on Jul 3, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Jul 3, 2014.