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Slade Gabriel Hogan
Addiction (Substance Use Disorder) Counselor in San Angelo, Texas
NPI 1265912166

Slade Gabriel Hogan is an Addiction (Substance Use Disorder) Counselor based in San Angelo, TX and is specialized in Addiction (Substance Use Disorder). Slade Gabriel Hogan practices in San Angelo, TX. The NPI Number for Slade Gabriel Hogan is 1265912166 and holds a License No. (Texas).

The current practice location address for Slade Gabriel Hogan is 3553 W Houston Harte Expy, San Angelo, TX and can be reached out via phone at 325-224-3481.

Location: 3553 W Houston Harte Expy, San Angelo, TX, 76901-2664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265912166
Provider Name
Slade Gabriel Hogan
Credential
Provider Entity Type
Individual
Gender
Male
Address
3553 W Houston Harte Expy, San Angelo, TX, 76901-2664
Phone Number
325-224-3481
Fax Number
Provider Enumeration Date
08/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3553 W Houston Harte Expy
City
San Angelo
State
Texas
Zip
76901-2664
Phone Number
325-224-3481
Fax Number
person
Provider Business Mailing Address Details
Address
3553 W Houston Harte Expy
City
San Angelo
State
Texas
Zip
76901-2664
Phone Number
325-224-3481
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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