Individual
MR. KEVIN RICHARD BOGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
1115 ELKTON DR STE 300, COLORADO SPRINGS, CO 80907-3597
(951) 837-3722
Mailing address
1115 ELKTON DR STE 300, COLORADO SPRINGS, CO 80907-3597
(951) 837-3722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
LPC.0014136
CO
Other
Enumeration date
11/22/2006
Last updated
11/20/2017
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