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CHRISTIAN BOGH PROFESSIONAL CLINICAL COUNSELOR INC. NPI 1265062020


NPI Information

NPI: 1265062020
Provider Name: CHRISTIAN BOGH PROFESSIONAL CLINICAL COUNSELOR INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5790 MAGNOLIA AVE STE 202
RIVERSIDE, CA
ZIP 92506
Phone: (909) 709-2071
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CHRISTIAN BOGH PROFESSIONAL CLINICAL COUNSELOR INC. is a mental health counselor in Riverside, CA. CHRISTIAN BOGH PROFESSIONAL CLINICAL COUNSELOR INC. NPI is 1265062020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5790 MAGNOLIA AVE STE 202
RIVERSIDE, CA
ZIP 92506-874
Phone: (909) 709-2071
Fax: (951) 346-3333

The provider's authorized official is Christian Garth Bogh .
The authorized official title is Owner and has the following contact phone number (909) 709-2071.

The enumeration date for this NPI number is 1/21/2020 and was last updated on 1/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1116200OTHERCALIFORNIACA STATE LMFT LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.