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Individual
MARK BOEGEL
Active
Individual
MARK BOEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1008
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1406660Y0NH01
BLUE CROSS
NH
01
—
2182507
CIGNA
NH
Enumeration date
11/30/2006
Last updated
03/19/2021
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