MRS. Roberta J Bogle, LPC

NPI #1144306747 in North Myrtle Beach, South Carolina

Provider Information

NPI Number: 1144306747
Entity Type: Individual
Name: MRS. Roberta J Bogle, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Oct 27, 2006
Last Updated: Nov 20, 2011

Practice Location

Address: 110 YE OLDE KINGS HWY
City: North Myrtle Beach
State: South Carolina
ZIP Code: 29582-3050
Phone: (843) 663-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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