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Individual

GOLDA IVASHKOV HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
1525 NORTH BOULDER HIGHWAY HENDERSON, NV 89011, HENDERSON, NV 89011
(702) 932-2524
(702) 558-8700
Mailing address
40 N FOGG ST, LAS VEGAS, NV 89110-5143
(702) 408-0148

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07730-I
NV
106H00000X
Marriage & Family Therapist
MI4565
NV

Other

Enumeration date
02/02/2016
Last updated
01/20/2026
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