Individual
JENNIFER BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 WHITEMAN DR NW, ALBUQUERQUE, NM 87120-2196
(505) 717-1155
Mailing address
6001 WHITEMAN DR NW, ALBUQUERQUE, NM 87120-2196
(505) 717-1155
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
01/08/2024
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