Individual
CONSTANCE COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NACA II, CAC-AD BAS
Contact information
Practice address
1002 WASHINGTON AVE, LA PLATA, MD 20646-4228
(301) 818-2812
Mailing address
8922 PENNS HILL RD, LA PLATA, MD 20646-4491
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2471
MD
Other
Enumeration date
11/03/2023
Last updated
11/14/2023
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