Individual
JAMES ANTHONY BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
32 REGENCY PLZ, 871 BALTIMORE PIKE, GLEN MILLS, PA 19342-1001
(610) 644-6464
(610) 981-6078
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 981-6078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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