Individual
SHANICE COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
323 CENTER ST STE 1420, LITTLE ROCK, AR 72201-2651
(501) 474-6131
Mailing address
323 CENTER ST STE 1420, LITTLE ROCK, AR 72201-2651
(501) 474-6131
(501) 298-2684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
7338-C
AR
Other
Enumeration date
08/13/2014
Last updated
05/07/2024
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