person
Mr. Michael Edward Bagley, SUDCC2
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1396868295

Michael Edward Bagley is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Michael Edward Bagley practices in Modesto, CA and has the professional credentials of SUDCC2. The NPI Number for Michael Edward Bagley is 1396868295 and holds a License No. 5819 (California).

The current practice location address for Michael Edward Bagley is 1028 Reno Ave, Modesto, CA and can be reached out via phone at 209-579-1103 and via fax at 209-578-1085. You can also correspond with Michael Edward Bagley through the mailing address at 1305 OAKRIDGE DR, MODESTO, CA - 95351-4847 (mailing address contact number: 209-402-0216).

Location: 1028 Reno Ave, Modesto, CA, 95351-4847
person
Provider Profile Details
NPI Number
1396868295
Provider Name
Michael Edward Bagley
Credential
SUDCC2
Provider Entity Type
Individual
Gender
Male
Address
1028 Reno Ave, Modesto, CA, 95351-4847
Phone Number
209-579-1103
Fax Number
209-578-1085
Provider Enumeration Date
04/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1028 Reno Ave
City
State
Zip
95351-1127
Phone Number
209-579-1103
Fax Number
209-578-1085
person
Provider Business Mailing Address Details
Address
1028 Reno Ave
City
State
Zip
95351-1127
Phone Number
209-579-1103
Fax Number
209-578-1085
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5819 (California)
Definition
Definition to come...
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