MR. Michael Edward Bagley, SUDCC 2 is an addiction (substance use disorder) counselor in Modesto, CA. MR. Michael Edward Bagley, SUDCC 2 NPI is 1396868295. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1028 RENO AVE
MODESTO, CA
ZIP 95351-127
Phone: (209) 579-1103
Fax: (209) 578-1085
The enumeration date for this NPI number is 4/8/2007 and was last updated on 7/31/2019.