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Individual
MR. JOSH SHANE HOGAN
Active
Individual
MR. JOSH SHANE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60297518
WA
Other
Enumeration date
08/01/2011
Last updated
12/15/2021
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