Charissa Bogle, LCSW

NPI #1033529052 in Johnson City, Tennessee

Provider Information

NPI Number: 1033529052
Entity Type: Individual
Name: Charissa Bogle, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 29, 2014
Last Updated: Mar 18, 2024

Practice Location

Address: 154 W SPRINGBROOK DR
City: Johnson City
State: Tennessee
ZIP Code: 37604-1758
Phone: (423) 926-1171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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