Provider Demographics
NPI:1831282599
Name:VOGLER, CANDACE (MSW, BCD)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:VOGLER
Suffix:
Gender:F
Credentials:MSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 E. 4TH. AVENUE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4729
Mailing Address - Country:US
Mailing Address - Phone:360-786-9499
Mailing Address - Fax:360-786-0758
Practice Address - Street 1:2101 E. 4TH. AVENUE
Practice Address - Street 2:SUITE 200
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4729
Practice Address - Country:US
Practice Address - Phone:360-786-9499
Practice Address - Fax:360-786-0758
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6001002642Medicare ID - Type Unspecified