Individual provider · Type 1 NPI
Russell William Hogg, MED, CAC, LPC, CCDP
Addiction (Substance Use Disorder) Counselor · Lebanon, PA
NPI number
1912155045
Active
Practice location
3030 Chestnut St., Lebanon Treatment Center
Lebanon, PA 17042
Fax (717) 273-8244
Mailing address
21 Pinewood Ave.
Lititz, PA 17543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | PC000649 (PA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912155045
Russell William Hogg, MED, CAC, LPC, CCDP's National Provider Identifier is 1912155045, issued on Sep 3, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lebanon, PA. The record was last updated on Sep 3, 2008.