Individual provider · Type 1 NPI

Kelly Hogan

Mental Health Counselor · Winston-Salem, NC

NPI number 1801964580 Active

Practice location

640 Holly Ave
Winston-Salem, NC 27101

Mailing address

1066 W 4th St Ste 301
Winston Salem, NC 27101-2434

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4581 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1801964580

Kelly Hogan's National Provider Identifier is 1801964580, issued on Dec 1, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston-Salem, NC. The record was last updated on Jul 8, 2007.