IndividualActive
Charles Bogdahn, LCSW
NPI 1265770523 · Clinical Child & Adolescent Psychologist · Mount Vernon, WA
Provider details
- NPI number
- 1265770523
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- #615 (HI)
Practice location
1419 East College Way
Mount Vernon, WA 98273
Phone: (808) 688-3376
Fax: (808) 961-6819
Mailing address
Po Box 591
Pepeekeo, HI 96783
Registry dates
- Enumerated
- 2013-01-22
- Last updated
- 2023-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.