| Doctor Name: | KATHLEEN BOGGS |
| NPI Number: | 1427080118 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC, CCDC, CAC-AD |
| License Number: | 1362 |
| Business Practice Address: | 164a West Main Street Box 277 New Market, MD - 21774 |
| Business Phone Number: | 3015182289 |
| Business Fax Number: | |
| Mailing Address: | 10002 Picea Ct, NEW MARKET |
| State: | MD |
| Postal Code: | 217742913 |
| Phone Number: | 3015182289 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1362 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |