Individual
CHRISTOPHER ADAM HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
1994 PONDEROSA RD, PORTAL, GA 30450-4837
(912) 601-7523
Mailing address
1994 PONDEROSA RD, PORTAL, GA 30450-4837
(912) 601-7523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009035
GA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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