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Gabriel Kogan, MA,RAS
Addiction (Substance Use Disorder) Counselor in Chula Vista, California
NPI 1982984985

Gabriel Kogan is an Addiction (Substance Use Disorder) Counselor based in Wilton, CA and is specialized in Addiction (Substance Use Disorder). Gabriel Kogan practices in Chula Vista, CA and has the professional credentials of MA,RAS. The NPI Number for Gabriel Kogan is 1982984985 and holds a License No. RI-K1108111257 (California).

The current practice location address for Gabriel Kogan is 1161 3Rd Ave, Chula Vista, CA and can be reached out via phone at 619-498-5072.

Location: 1161 3Rd Ave, Chula Vista, CA, 95693-8537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982984985
Provider Name
Gabriel Kogan
Credential
MA,RAS
Provider Entity Type
Individual
Gender
Male
Address
1161 3Rd Ave, Chula Vista, CA, 95693-8537
Phone Number
619-498-5072
Fax Number
Provider Enumeration Date
08/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1161 3Rd Ave
City
Chula Vista
State
California
Zip
91911-3136
Phone Number
619-498-5072
Fax Number
person
Provider Business Mailing Address Details
Address
1161 3Rd Ave
City
Chula Vista
State
California
Zip
91911-3136
Phone Number
619-498-5072
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
RI-K1108111257 (California)
Definition
Definition to come...
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