Individual
MR. ANTHONY MAURICE COGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS
Contact information
Practice address
2577 RAVENHILL DR, FAYETTEVILLE, NC 28303-5451
(910) 527-0753
Mailing address
2577 RAVENHILL DR, FAYETTEVILLE, NC 28303-5451
(910) 527-0753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26092
NC
1041C0700X
Clinical Social Worker
C019958
NC
1041C0700X
Clinical Social Worker
P015251
NC
Other
Enumeration date
08/14/2020
Last updated
06/03/2026
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