Individual
AUDRA BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC
Contact information
Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7425
(606) 633-4871
(606) 633-0883
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103089
KY
101YP2500X
Professional Counselor
KY-1684
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/10/2010
Last updated
04/14/2021
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