MR. BOGAN AVERY LAC NPI 1316311467

NPI Information

MR. Bogan Avery, LAC is a counselor in Searcy, AR. The provider is 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. MR. Bogan Avery, LAC NPI is 1316311467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1507 E. RACE ST.
SEARCY, AR
ZIP 72143-661
Phone: (501) 305-2359
Fax: (501) 305-2348

The enumeration date for this NPI number is 11/30/2015 and was last updated on 5/9/2018.

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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