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MRS. PEGGY JANE HOGAN LPC
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1255759973
Individual Registrant:MRS. PEGGY JANE HOGAN LPC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
288 BENJAMIN H HILL DR SW STE 3 FITZGERALD, GA 31750-8724 US
Tel: 229-392-9000 Fax: 229-233-6155
Tel: 229-392-9000 Fax: 229-233-6155
Contact information for business:
288 BENJAMIN H HILL DR SW STE 3 FITZGERALD, GA 31750-8724 US
Tel: 229-392-9000 Fax: 229-233-6155
Tel: 229-392-9000 Fax: 229-233-6155
Registration Information:
NPI: 1255759973
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | GA | LPC007428 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 003149147A | GA | 05 |
