Individual
LINDA BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCADC
Contact information
Practice address
204 MIDSTREAMS PL, BRICK, NJ 08724-3727
(732) 948-6406
Mailing address
204 MIDSTREAMS PL, BRICK, NJ 08724-3727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00321500
NJ
Other
Enumeration date
03/12/2013
Last updated
03/11/2021
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