Walter Albert Bogucki, CADC

NPI #1104259027 in Nampa, Idaho

Provider Information

NPI Number
1104259027
Entity Type
Individual
Name
Walter Albert Bogucki, CADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CADC
Enumeration Date
Aug 14, 2013
Last Updated
Aug 14, 2013

Practice Location

Address
508 E FLORIDA AVE
City
Nampa
State
Idaho
ZIP Code
83686-5823
Phone
(208) 463-0118

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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