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Individual

THOMAS EVAN BOGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 ATCHESON ST, COLUMBUS, OH 43203-1353
(614) 252-4941
(855) 908-2509
Mailing address
1000 ATCHESON ST, COLUMBUS, OH 43203-1353
(614) 252-4941
(855) 908-2509

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1901957
OH
101Y00000X
Counselor
Primary
E.2102554
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162196
OH

Other

Enumeration date
06/11/2019
Last updated
11/03/2022
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