Individual provider · Type 1 NPI

Roberta J. Bogle, LPC

Mental Health Counselor · North Myrtle Beach, SC

NPI number 1144306747 Active

Practice location

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-3050

Call (843) 663-0770 Map

Fax (843) 663-0772

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XE0008241 (OH)
Mental Health Counselor Primary 101YM0800X5005 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1144306747

Roberta J. Bogle, LPC's National Provider Identifier is 1144306747, issued on Oct 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Myrtle Beach, SC. The record was last updated on Nov 20, 2011.