Mogensen, Cheryl Louise
Mogensen, Cheryl Louise is an individual health care provider with primary practice located at 5455 Almira Dr Se , Bremerton WA 98311-8330. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mogensen, Cheryl Louise can be contacted via phone (360) 373-5031.Contact Information
Primary practice address
5455 Almira Dr Se
Bremerton WA 98311-8330
Phone: (360) 373-5031
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00002816 | Washington |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | RC00009710 | Washington |
Profile Details
NPI number | 1326181116 |
---|---|
LBN Legal business name | Mogensen, Cheryl Louise |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2007 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326181116 | NPPES |
Washington | Other | 91102010696 | KITSAP PHYSICIANS SERVICE |
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