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Organization
COGBURN COUNSELING & SUPERVISION PLLC
Active
Organization
COGBURN COUNSELING & SUPERVISION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANI COGBURN (OWNER/CLINICIAN)
(704) 266-2087
Entity
Organization
Contact information
Practice address
1316 PLUMCREST DR, CHARLOTTE, NC 28216-1341
(704) 266-2087
Mailing address
1235 EAST BLVD, SUITE E #176, CHARLOTTE, NC 28203
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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