person
Mr. Russell William Hogg, MED,CAC,LPC,CCDP
Addiction (Substance Use Disorder) Counselor in Lebanon, Pennsylvania
NPI 1912155045

Russell William Hogg is an Addiction (Substance Use Disorder) Counselor based in Lititz, PA and is specialized in Addiction (Substance Use Disorder). Russell William Hogg practices in Lebanon, PA and has the professional credentials of MED,CAC,LPC,CCDP. The NPI Number for Russell William Hogg is 1912155045 and holds a License No. PC000649 (Pennsylvania).

The current practice location address for Russell William Hogg is 3030 Chestnut St., Lebanon, PA and can be reached out via phone at 717-273-8000 and via fax at 717-273-8244. You can also correspond with Russell William Hogg through the mailing address at 21 PINEWOOD AVE., LITITZ, PA - 17543 (mailing address contact number: 717-626-6811).

Location: 3030 Chestnut St., Lebanon, PA, 17543
person
Provider Profile Details
NPI Number
1912155045
Provider Name
Russell William Hogg
Credential
MED,CAC,LPC,CCDP
Provider Entity Type
Individual
Gender
Male
Address
3030 Chestnut St., Lebanon, PA, 17543
Phone Number
717-273-8000
Fax Number
717-273-8244
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3030 Chestnut St.
City
State
Zip
17042
Phone Number
717-273-8000
Fax Number
717-273-8244
person
Provider Business Mailing Address Details
Address
21 Pinewood Ave.
City
State
Zip
17543
Phone Number
717-626-6811
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
PC000649 (Pennsylvania)
Definition
Definition to come...
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