Individual
GINA DEANNE HOGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, BLDG #17, STE. A212, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
(360) 397-8246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60688599
WA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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