Individual
KATHLEEN BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CCDC, CAC-AD
Contact information
Practice address
164A WEST MAIN STREET, BOX 277, NEW MARKET, MD 21774
(301) 518-2289
Mailing address
10002 PICEA CT, NEW MARKET, MD 21774-2913
(301) 518-2289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1362
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACO324
MD
101YP2500X
Professional Counselor
LC1567
MD
Other
Enumeration date
07/06/2006
Last updated
09/11/2025
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