Individual provider · Type 1 NPI

Terrence Lee Bogan

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1861287336 Active

Practice location

8411 Broadway Ave
Cleveland, OH 44105-3932

Mailing address

3852 E 153rd St
Cleveland, OH 44128-1112

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 1861287336

Terrence Lee Bogan's National Provider Identifier is 1861287336, issued on Apr 14, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Apr 14, 2025.