Individual provider · Type 1 NPI

Tim Hogan

Mental Health Counselor · Albuquerque, NM

NPI number 1639483597 Active

Practice location

5301 Ponderosa Ave NE
Albuquerque, NM 87110-1216

Call (505) 881-8982 Map

Mailing address

1764 Lee Loop NE
Rio Rancho, NM 87144-5472

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639483597

Tim Hogan's National Provider Identifier is 1639483597, issued on Aug 3, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 3, 2010.