ELISSA VOGAN LMSW
NPI 1285901496
Counselor - Mental Health in Jefferson, GA
Active since November 17, 2011
About Elissa Vogan Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISSA VOGAN LMSW (NPI 1285901496) is an individual mental health provider in Jefferson, Georgia, licensed in Georgia (MSW005556) and active in the NPI registry since November 2011.
NPPES Registry Identity
NPI1285901496
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELISSA VOGANCredential: LMSW
Location Address383 GENERAL JACKSON DRJefferson, GA 30549-2909
Mailing Address250 North AveAthens, GA 30601-2244 · (706) 389-6789 · Fax (706) 227-7249
Phone(706) 367-5258
Sole ProprietorNo
Enumeration DateNovember 17, 2011
✔ NPI 1285901496 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · MSW005556
383 GENERAL JACKSON DR, Jefferson, GA 30549
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285901496, enumerated as an "individual" on November 17, 2011.
The provider is located at 383 GENERAL JACKSON DR JEFFERSON, GA 30549 and the phone number is (706) 367-5258.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
