Individual provider · Type 1 NPI
Vernon Boggs, LICDC
Addiction (Substance Use Disorder) Counselor · Lima, OH
NPI number
1609311091
Active
Practice location
311 E Market St
Lima, OH 45801-4535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 161136 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609311091
Vernon Boggs, LICDC's National Provider Identifier is 1609311091, issued on Dec 21, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lima, OH. The record was last updated on Dec 21, 2016.