Individual provider · Type 1 NPI

Slade Gabriel Hogan

Addiction (Substance Use Disorder) Counselor · San Angelo, TX

NPI number 1265912166 Active

Practice location

3553 W Houston Harte Expy
San Angelo, TX 76901-2664

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265912166

Slade Gabriel Hogan's National Provider Identifier is 1265912166, issued on Aug 20, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Angelo, TX. The record was last updated on Aug 20, 2018.