person
Michael Bogren
Addiction (Substance Use Disorder) Counselor in Santa Cruz, California
NPI 1013133644

Michael Bogren is an Addiction (Substance Use Disorder) Counselor based in Santa Cruz, CA and is specialized in Addiction (Substance Use Disorder). Michael Bogren practices in Santa Cruz, CA. The NPI Number for Michael Bogren is 1013133644 and holds a License No. (California).

The current practice location address for Michael Bogren is 1400 Emeline St, Santa Cruz, CA and can be reached out via phone at 831-454-7435 and via fax at 831-454-4747.

Location: 1400 Emeline St, Santa Cruz, CA, 95060-5320
person
Provider Profile Details
NPI Number
1013133644
Provider Name
Michael Bogren
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 Emeline St, Santa Cruz, CA, 95060-5320
Phone Number
831-454-7435
Fax Number
831-454-4747
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91892Z 01 SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
ZZZ91892Z 05 CA
institution
Provider Business Practice Location Address Details
Address
1400 Emeline St
City
State
Zip
95060-5320
Phone Number
831-454-7435
Fax Number
831-454-4747
person
Provider Business Mailing Address Details
Address
1400 Emeline St
City
State
Zip
95060-5320
Phone Number
831-454-7435
Fax Number
831-454-4747
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A02820315 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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