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Organization
CHRISTIAN BOGH PROFESSIONAL CLINICAL COUNSELOR INC.
Active
Organization
CHRISTIAN BOGH PROFESSIONAL CLINICAL COUNSELOR INC.
Active
Other names
Christian Garth Bogh
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN GARTH BOGH LMFT (OWNER)
(909) 709-2071
Entity
Organization
Contact information
Practice address
5790 MAGNOLIA AVE STE 202, RIVERSIDE, CA 92506-1874
(909) 709-2071
(951) 346-3333
Mailing address
5790 MAGNOLIA AVE STE 202, RIVERSIDE, CA 92506-1874
(909) 709-2071
(951) 346-3333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116200
CA STATE LMFT LICENSE NUMBER
CA
Enumeration date
01/21/2020
Last updated
01/21/2020
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