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Contact Information

CHARLES H BOGDAHN, LCSW
1419 EAST COLLEGE WAY
MOUNT VERNON, WA98273
 Phone: 808-688-3376
 Fax: 808-961-6819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLES H BOGDAHN · (Male)

NPI Number 1265770523
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/22/2013
Last updated 01/08/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • HI License # #615
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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