Jaclyn Bogner, MS

NPI #1083393755 in Coburg, Oregon

Provider Information

NPI Number: 1083393755
Entity Type: Individual
Name: Jaclyn Bogner, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MS
Enumeration Date: Jul 11, 2023
Last Updated: Jul 11, 2023

Practice Location

Address: 1 SERENITY LN
City: Coburg
State: Oregon
ZIP Code: 97408-9350
Phone: (541) 687-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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