Individual
JENNIFER BOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 KENTON DR, SUITE 200, CHARLESTON, WV 25311-1266
(304) 347-9818
(304) 347-9820
Mailing address
300 KENTON DR, SUITE 200, CHARLESTON, WV 25311-1266
(304) 347-9818
(304) 347-9820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
03/05/2009
Last updated
05/12/2015
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