Individual
DANELL M BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 PACIFIC AVE, TILLAMOOK, OR 97141-3926
(503) 842-3900
(503) 842-3903
Mailing address
PO BOX 489, TILLAMOOK, OR 97141-0489
(503) 842-3900
(503) 842-3903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
10/10/2018
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