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Individual
PAYTON JIBRI HOGAN
Active
Individual
PAYTON JIBRI HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LIMHP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1765
NE
101YM0800X
Mental Health Counselor
12129
NE
101YM0800X
Mental Health Counselor
Primary
2953
NE
101YM0800X
Mental Health Counselor
—
NULL
Other
Enumeration date
02/25/2020
Last updated
12/11/2023
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