Individual
MISS SYMONE PATRICE BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
5584 S FORT APACHE RD, LAS VEGAS, NV 89148-7657
(702) 296-1222
Mailing address
12321 KINGS MEADOW CT, LAS VEGAS, NV 89138-1119
(702) 296-1222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08172-I
NV
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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