JAMES BAGWELL

SAN DIEGO, CA
NPI1134598717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  6329i)
Enumeration Date2015-09-24
Last Update Date2015-09-24
Business Address
-- JAMES BAGWELL
1733 EUCLID AVE
SAN DIEGO, CA 92105-5414
Phone number: 619-263-0433
Mailing Address
-- JAMES BAGWELL
1733 EUCLID AVE
SAN DIEGO, CA 92105-5414
Phone number: 619-263-0433
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