Doctor Name: | KATHLEEN HOGAN |
NPI Number: | 1194021048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | C2205 |
Business Practice Address: | 530 Nw 27th St Corvallis, OR - 973305223 |
Business Phone Number: | 5417666835 |
Business Fax Number: | 5417666186 |
Mailing Address: | 530 Nw 27th St, CORVALLIS |
State: | OR |
Postal Code: | 973305223 |
Phone Number: | 5417666835 |
Fax Number: | 5417666186 |
NPI Enumeration Date: | 02/09/2011 |
NPI Last Update Date: | 06/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C2205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |