Individual
WILLIAM JACK POGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1607
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15483
LOVELACE HEALTH CARE
NM
01
—
23788
PRESBYTERIAN HEALTH CARE
NM
01
—
362
MESA MENTAL HEALTH
NM
01
—
65613
CIGNA HEALTH CARE
NM
01
—
850447796
SAN JUAN IPA
NM
01
—
98965
VALUE OPTIONS
NM
05
—
98965
—
NM
01
—
R64S
BLUE CROSS BLUE SHIELD
NM
05
—
VNM000690T
—
NM
Enumeration date
02/21/2006
Last updated
05/09/2023
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