Individual
LORA COGLIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2120 N CENTRAL AVE, PHOENIX, AZ 85004-1455
(602) 271-4500
(602) 258-0102
Mailing address
2120 N CENTRAL AVE, PHOENIX, AZ 85004-1455
(602) 271-4500
(602) 258-0102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15183
AZ
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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