Individual provider · Type 1 NPI

Jonathan Blakely Brugge, BASW CADCA

Student in an Organized Health Care Education/Training Program · South Pasadena, CA

NPI number 1689920985 Active

Practice location

616 Prospect Ave Apt 2
South Pasadena, CA 91030-2433

Call (323) 770-2345 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689920985

Jonathan Blakely Brugge, BASW CADCA's National Provider Identifier is 1689920985, issued on Jul 24, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Pasadena, CA. The record was last updated on Sep 19, 2012.