person
Nathan A Boggs, CDCA
Addiction (Substance Use Disorder) Counselor in Lorain, Ohio
NPI 1962032433

Nathan A Boggs is an Addiction (Substance Use Disorder) Counselor based in Lorain, OH and is specialized in Addiction (Substance Use Disorder). Nathan A Boggs practices in Lorain, OH and has the professional credentials of CDCA. The NPI Number for Nathan A Boggs is 1962032433 and holds a License No. CDCA.171390 (Ohio).

The current practice location address for Nathan A Boggs is 2115 W Park Dr, Lorain, OH and can be reached out via phone at 440-989-4900 and via fax at 440-282-4779.

Location: 2115 W Park Dr, Lorain, OH, 44053-1138
person
Provider Profile Details
NPI Number
1962032433
Provider Name
Nathan A Boggs
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
2115 W Park Dr, Lorain, OH, 44053-1138
Phone Number
440-989-4900
Fax Number
440-282-4779
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CDCA.171390 01 OH LICENSE
institution
Provider Business Practice Location Address Details
Address
2115 W Park Dr
City
State
Zip
44053-1138
Phone Number
440-989-4900
Fax Number
440-282-4779
person
Provider Business Mailing Address Details
Address
2115 W Park Dr
City
State
Zip
44053-1138
Phone Number
440-989-4900
Fax Number
440-282-4779
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.171390 (Ohio)
Definition
Definition to come...
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