Individual
DR. CHARLES HERMANN BOGDAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1419 EAST COLLEGE WAY, MOUNT VERNON, WA 98273
(808) 688-3376
(808) 961-6819
Mailing address
PO BOX 591, PEPEEKEO, HI 96783
(808) 688-3376
(808) 961-6819
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
#615
HI
Other
Enumeration date
01/22/2013
Last updated
01/08/2023
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