Individual
JULIE K HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1775 W STATE ST # 180, BOISE, ID 83702-3924
(208) 536-8142
Mailing address
1775 W STATE ST # 180, BOISE, ID 83702-3924
(208) 830-4237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35047
ID
Other
Enumeration date
09/11/2015
Last updated
04/04/2024
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