Individual
JOSH COGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, LADC
Contact information
Practice address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(651) 314-1146
Mailing address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(651) 314-1146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305952
MN
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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