Individual
MARTIN EUGENE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
3900 W BROWN DEER RD STE 200, BROWN DEER, WI 53209-1220
(414) 540-2170
Mailing address
5325 W BURLEIGH ST, MILWAUKEE, WI 53210-1623
(414) 810-0550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18445-130
WI
101YP2500X
Professional Counselor
Primary
3898-226
WI
Other
Enumeration date
12/27/2017
Last updated
05/11/2018
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