Individual provider · Type 1 NPI

Linda Ann Bogue

Addiction (Substance Use Disorder) Counselor · Joplin, MO

NPI number 1821422502 Active

Practice location

2919 E 4th St
Joplin, MO 64801-1625

Fax (417) 624-4558

Mailing address

12114 David Ln
Joplin, MO 64804-8308

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1215 (MO)

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

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About NPI 1821422502

Linda Ann Bogue's National Provider Identifier is 1821422502, issued on Aug 29, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Joplin, MO. The record was last updated on Aug 29, 2013.