Provider Demographics
NPI:1922314004
Name:HOGAN, JANE ANN (MAMFT, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:ANN
Last Name:HOGAN
Suffix:
Gender:F
Credentials:MAMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 COPPERSFIELD BLCD
Mailing Address - Street 2:CAROLINA COUNSELING INC.
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2433
Mailing Address - Country:US
Mailing Address - Phone:704-657-6574
Mailing Address - Fax:704-220-2271
Practice Address - Street 1:900 COPPERSFIELD BLCD
Practice Address - Street 2:CAROLINA COUNSELING INC.
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2433
Practice Address - Country:US
Practice Address - Phone:704-657-6574
Practice Address - Fax:704-220-2271
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7675101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health