Provider Demographics
NPI:1033914841
Name:HOGAN, NICOLE M (MS, CMHC)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:M
Last Name:HOGAN
Suffix:
Gender:
Credentials:MS, CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 COURT ST
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-3636
Mailing Address - Country:US
Mailing Address - Phone:603-260-1101
Mailing Address - Fax:
Practice Address - Street 1:109 COURT STREET
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3636
Practice Address - Country:US
Practice Address - Phone:603-260-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health