Mr. Michael Edward Bagley, SUDCC2
Mr. Michael Edward Bagley, SUDCC2 is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1028 Reno AveModesto, CA 95351-1127
Phone: (209) 579-1103
Fax: (209) 578-1085
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 5819 (CA) |
|---|
Record details
| NPI number | 1396868295 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUDCC2 |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2007 |
| Last updated in NPPES | July 31, 2019 |
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