Individual provider · Type 1 NPI

Derrick Boger

Mental Health Counselor · Greensboro, NC

NPI number 1366250573 Active

Practice location

2309 W Cone Blvd Ste 220
Greensboro, NC 27408-4047

Call (336) 491-5706 Map

Mailing address

4720 Chesterfield Pl
Jamestown, NC 27282-8656

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA20699 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1366250573

Derrick Boger's National Provider Identifier is 1366250573, issued on Dec 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greensboro, NC. The record was last updated on Dec 19, 2024.