Individual
MRS. KATHERINE MCENTIRE HOGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1750 SUN PEAK DR, SUITE 175, PARK CITY, UT 84098-6724
(435) 901-0286
Mailing address
1502 WILLOW LN, PARK CITY, UT 84098-4509
(435) 901-0286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
49035046004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942938348H04
EDUCATORS MUTUAL
UT
01
—
9979429
AETNA PROVIDER NUMBER
UT
Enumeration date
01/26/2006
Last updated
03/10/2012
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