Individual
AUDRIANA D HOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
231 NEW BRIDGE ST, JACKSONVILLE, NC 28540-4736
(615) 813-0879
Mailing address
427 MCCALL DR, JACKSONVILLE, NC 28540-8077
(405) 788-2663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17757
NC
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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