Individual
CHERYL LOUISE MOGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 373-5031
Mailing address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 373-5031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00002816
WA
101YM0800X
Mental Health Counselor
Primary
RC00009710
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91102010696
KITSAP PHYSICIANS SERVICE
WA
Enumeration date
02/14/2007
Last updated
09/11/2025
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