Mark Bogert is a Counselor based in Roanoke, VA. Mark Bogert practices in Roanoke, VA. The NPI Number for Mark Bogert is 1518342393 and holds a License No. (Virginia).
The current practice location address for Mark Bogert is 5673 Airport Rd, Roanoke, VA and can be reached out via phone at 540-523-8080 and via fax at 540-562-8867.
Location: 5673 Airport Rd, Roanoke, VA, 24012-1119
Provider Profile Details
NPI Number
1518342393
Provider Name
Mark Bogert
Credential
Provider Entity Type
Organization
Address
5673 Airport Rd, Roanoke, VA, 24012-1119
Phone Number
540-523-8080
Fax Number
540-562-8867
Provider Enumeration Date
07/22/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601035424 | 05 | VA |
Provider Business Practice Location Address Details
Address
5673 Airport Rd
City
State
Zip
24012-1119
Phone Number
540-523-8080
Fax Number
540-562-8867
Provider Business Mailing Address Details
Address
5673 Airport Rd
City
State
Zip
24012-1119
Phone Number
540-523-8080
Fax Number
540-562-8867
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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