Individual
RICHARD BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCAC
Contact information
Practice address
101 E PARK DR, ALBION, IN 46701-1438
(260) 636-6884
(260) 636-3392
Mailing address
850 N HARRISON ST, ATTN: ANNE LAWSON, WARSAW, IN 46580-3163
(574) 267-7169
(574) 268-2377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000386A
IN
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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