Individual provider · Type 1 NPI

Sherrill Bagley

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1992257521 Active

Practice location

11900 Avalon Blvd, 200
Los Angeles, CA 90061-2866

Fax (323) 242-0600

Mailing address

11900 Avalon Blivd, 200
Los Angeles, CA 90061

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 1992257521

Sherrill Bagley's National Provider Identifier is 1992257521, issued on Oct 31, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 31, 2016.