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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None 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.