Doctor Name: | CYNTHIA JANE HOGAN |
NPI Number: | 1336201920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.A.S. |
License Number: | 49 |
Business Practice Address: | 161 E Lexington Rd Ste B Mocksville, NC - 270282635 |
Business Phone Number: | 3366082591 |
Business Fax Number: | 3367536855 |
Mailing Address: | 161 E Lexington Rd Ste B, MOCKSVILLE |
State: | NC |
Postal Code: | 270282635 |
Phone Number: | 3366082591 |
Fax Number: | 3367536855 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 09/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 49 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |