Hogan, Kimberly Ann

Hogan, Kimberly Ann is an sole proprietor health care provider with primary practice located at 1574 Sw Fresno Rd , Port Saint Lucie FL 34953-4329. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hogan, Kimberly Ann can be contacted via phone (772) 634-0470.

Contact Information

Primary practice address
1574 Sw Fresno Rd Port Saint Lucie FL 34953-4329
Phone: (772) 634-0470
Fax: (772) 634-0470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1538454764
LBN Legal business name Hogan, Kimberly Ann
Credentials M.S. MFC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2011
Last updated Jun 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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