Individual
LAKEISHA TAMEIKA BOGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
704 OLD LILESVILLE RD, WADESBORO, NC 28170-2820
(704) 694-6588
(704) 694-6706
Mailing address
284 EXECUTIVE PARK DR., SUITE 100, CONCORD, NC 28025-1894
(704) 939-1000
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9959
NC
Other
Enumeration date
12/08/2010
Last updated
07/29/2013
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