Individual
LUKETHIA OGOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10884 SOUTHSHORE CT, HAMPTON, GA 30228-6175
(678) 522-5687
Mailing address
10884 SOUTHSHORE CT, HAMPTON, GA 30228-6175
(678) 522-5687
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
572508122010
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
G0108
GA
Other
Enumeration date
07/17/2015
Last updated
08/05/2020
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