Individual
RANDEE KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
5700 LAKE WORTH RD STE 112, GREENACRES, FL 33463-3213
(561) 600-7624
Mailing address
5700 LAKE WORTH RD STE 112, GREENACRES, FL 33463-3213
(561) 600-7624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH6168
FL
Other
Enumeration date
10/11/2016
Last updated
08/08/2024
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