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NPI Code Detail

MEDICARE: DANIELLE NICHOLE BOGAN AMFT

MEDICARE: DANIELLE NICHOLE BOGAN AMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist131404CA

General Provider Information

NPI Number : 1982161949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE NICHOLE BOGAN AMFT
Provider Business Mailing Address
First Line : 180 PROMENADE CIR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-2939
Country : US
Telephone Number : 916-642-7800
Fax Number :
Provider Business Practice Location Address
First Line : 6110 GARFIELD AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-2009
Country : US
Telephone Number : 916-642-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2019
Last Update Date : 05/02/2025

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Directions to “ DANIELLE NICHOLE BOGAN AMFT” Practice Location

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