NPI 1104490051 · live from the CMS NPI Registry
Curnesia S Bogans
Marriage & Family Therapist in Norcross, GA. National Provider Identifier 1104490051, active.
NPI record
| NPI | 1104490051 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 6015 Atlantic Blvd, Norcross, GA 30071 |
| Practice phone | 770-209-2798 |
| Mailing address | 3218 Kessock Ridge Trl, Snellville, GA 30039 |
| Enumerated | May 16, 2021 |
| Last updated | May 16, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 001868 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.