Provider Demographics
NPI:1972249902
Name:CADOGAN, RICHARD F II (MA, LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:F
Last Name:CADOGAN
Suffix:II
Gender:M
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8612
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-0126
Mailing Address - Country:US
Mailing Address - Phone:480-225-4044
Mailing Address - Fax:
Practice Address - Street 1:30041 W EARLL DR
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-3178
Practice Address - Country:US
Practice Address - Phone:480-225-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-20787101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty