LETIA BOGAN NPI 1679244693

NPI Information

Letia Bogan is a peer specialist in Ridgecrest, CA. The provider is 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. Letia Bogan NPI is 1679244693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 N NORMA ST STE 133
RIDGECREST, CA
ZIP 93555-577
Phone: (760) 499-7406

The enumeration date for this NPI number is 9/21/2021 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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