Individual provider · Type 1 NPI
Antoinette Bogan
Addiction (Substance Use Disorder) Counselor · Jenkintown, PA
NPI number
1265973978
Active
Practice location
610 Old York Rd
Jenkintown, PA 19046-2837
Fax (844) 605-1833
Mailing address
610 Old York Road, Suite 400
Jenkintown, PA 19046-8406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Professional Counselor | 101YP2500X | PC014544 (PA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1265973978
Antoinette Bogan's National Provider Identifier is 1265973978, issued on Mar 14, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jenkintown, PA. The record was last updated on Jul 9, 2024.