Letia Bogan is a Peer Specialist based in Ridgecrest, CA. Letia Bogan practices in Ridgecrest, CA. The NPI Number for Letia Bogan is 1679244693 and holds a License No. (California).
The current practice location address for Letia Bogan is 1400 N Norma St Ste 133, Ridgecrest, CA and can be reached out via phone at 760-499-7406.
Location: 1400 N Norma St Ste 133, Ridgecrest, CA, 93555-2577
Provider Profile Details
NPI Number
1679244693
Provider Name
Letia Bogan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 N Norma St Ste 133, Ridgecrest, CA, 93555-2577
Phone Number
760-499-7406
Fax Number
Provider Enumeration Date
09/21/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1400 N Norma St Ste 133
City
State
Zip
93555-2577
Phone Number
760-499-7406
Fax Number
Provider Business Mailing Address Details
Address
1400 N Norma St Ste 133
City
State
Zip
93555-2577
Phone Number
760-499-7406
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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