Individual
ANGELA M HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
103 ALLIE CT, BARDSTOWN, KY 40004-9189
(502) 203-6951
(502) 331-6062
Mailing address
103 ALLIE CT, BARDSTOWN, KY 40004-9189
(502) 203-6951
(502) 331-6062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
262577
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
252954
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100775610
—
KY
Enumeration date
08/02/2021
Last updated
11/20/2024
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