Provider Demographics
NPI:1538872254
Name:HOGAN, REGINA CAROL (LPC-A)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:CAROL
Last Name:HOGAN
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 ANDERSON COUNTY ROAD 1237
Mailing Address - Street 2:
Mailing Address - City:GRAPELAND
Mailing Address - State:TX
Mailing Address - Zip Code:75844
Mailing Address - Country:US
Mailing Address - Phone:903-724-4706
Mailing Address - Fax:
Practice Address - Street 1:2585 FM 2022
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:TX
Practice Address - Zip Code:75839-4549
Practice Address - Country:US
Practice Address - Phone:903-724-4706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82708101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional