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Individual
MR. MARK ALAN COGBURN
Active
Individual
MR. MARK ALAN COGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC,LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1595
LA
106H00000X
Marriage & Family Therapist
177
LA
364S00000X
Clinical Nurse Specialist
Primary
AP06313
LA
Other
Enumeration date
01/04/2007
Last updated
09/17/2024
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