Individual provider · Type 1 NPI

Symone Patrice Bogan, CADC-I

Addiction (Substance Use Disorder) Counselor · Las Vegas, NV

NPI number 1619832912 Active

Practice location

5584 S Fort Apache Rd
Las Vegas, NV 89148-7657

Call (702) 296-1222 Map

Mailing address

12321 Kings Meadow Ct
Las Vegas, NV 89138-1119

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X08172-I (NV)

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

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About NPI 1619832912

Symone Patrice Bogan, CADC-I's National Provider Identifier is 1619832912, issued on Dec 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 18, 2025.