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Mr. Josh Shane Hogan, SUDP
Addiction (Substance Use Disorder) Counselor in Everett, Washington
NPI 1912285438

Josh Shane Hogan is an Addiction (Substance Use Disorder) Counselor based in Tukwila, WA and is specialized in Addiction (Substance Use Disorder). Josh Shane Hogan practices in Everett, WA and has the professional credentials of SUDP. The NPI Number for Josh Shane Hogan is 1912285438 and holds a License No. (Washington).

The current practice location address for Josh Shane Hogan is 4301 Hoyt Ave, Everett, WA and can be reached out via phone at 877-522-1275.

Location: 4301 Hoyt Ave, Everett, WA, 98188-2547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912285438
Provider Name
Josh Shane Hogan
Credential
SUDP
Provider Entity Type
Individual
Gender
Male
Address
4301 Hoyt Ave, Everett, WA, 98188-2547
Phone Number
877-522-1275
Fax Number
Provider Enumeration Date
08/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4301 Hoyt Ave
City
Everett
State
Washington
Zip
98203-2316
Phone Number
877-522-1275
Fax Number
person
Provider Business Mailing Address Details
Address
4301 Hoyt Ave
City
Everett
State
Washington
Zip
98203-2316
Phone Number
877-522-1275
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CP60297518 (Washington)
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.
person
Provider's Taxonomy Details 2
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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