Individual
DR. RENITA HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
6000 POPLAR AVE STE 250, MEMPHIS, TN 38119-3974
(901) 212-0014
Mailing address
429 E COMMERCE ST # 318, HERNANDO, MS 38632-2348
(901) 212-0014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2594
MS
Other
Enumeration date
10/11/2016
Last updated
02/23/2022
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