James Bagwell IV
James Bagwell IV is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
1733 Euclid AveSan Diego, CA 92105-5414
Phone: (619) 263-0433
Fax: (619) 263-3992
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 6329I (CA) |
|---|
Record details
| NPI number | 1134598717 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 24, 2015 |
| Last updated in NPPES | September 24, 2015 |
| Mailing address | 1733 Euclid Ave, San Diego, CA 92105-5414 |
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