Individual
DR. BETHANI COGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCMHC, QS
Contact information
Practice address
1235 EAST BLVD, STE E #176, CHARLOTTE, NC 28203-5876
(704) 266-2087
Mailing address
1235 EAST BLVD., STE E #176, CHARLOTTE, NC 28203-5876
(704) 266-2087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13192
NC
Other
Enumeration date
06/11/2020
Last updated
08/17/2025
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