Individual provider · Type 1 NPI
Kenneth Boggie, CADC I
Addiction (Substance Use Disorder) Counselor · Coburg, OR
NPI number
1689114175
Active
Practice location
1 Serenity Lane
Coburg, OR 97408
Mailing address
PO Box 8549
Coburg, OR 97408-1313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 161102 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
Other addiction (substance use disorder) counselor providers in Coburg
- Geramie Mark McCormick, CRM II, CADC-RAddiction (Substance Use Disorder) Counselor Coburg, OR NPI 1003686304
- Tanja Desalles Looker, CADC 1Addiction (Substance Use Disorder) Counselor Coburg, OR NPI 1023580081
- Emmitt Adair, QMHP, CADC III, SAPAddiction (Substance Use Disorder) Counselor Coburg, OR NPI 1033776190
- Mason Anthony Marin, CADC-R, CRM 1Addiction (Substance Use Disorder) Counselor Coburg, OR NPI 1033958905
- Jeffrey Hugh WrightAddiction (Substance Use Disorder) Counselor Coburg, OR NPI 1043970585
- Jenae Hulsey Katelyn HulseyAddiction (Substance Use Disorder) Counselor Coburg, OR NPI 1063132421
- Heatherann Charlene Helms, CADCRAddiction (Substance Use Disorder) Counselor Coburg, OR NPI 1104524396
- Christopher BowlingAddiction (Substance Use Disorder) Counselor Coburg, OR NPI 1114632569
About NPI 1689114175
Kenneth Boggie, CADC I's National Provider Identifier is 1689114175, issued on Mar 2, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Mar 2, 2017.