Individual
MR. JONATHAN NELSON COGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1938 MIMOSA DR, ABILENE, TX 79603-4312
(325) 200-7404
Mailing address
1938 MIMOSA DR, ABILENE, TX 79603-4312
(325) 200-7404
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201641
TX
Other
Enumeration date
10/09/2012
Last updated
01/02/2013
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