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Individual

MS. ALEXANDRA COOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
361 NE FRANKLIN AVE BLDG E, BEND, OR 97701-4917
(541) 213-8230
Mailing address
PO BOX 2340, LA PINE, OR 97739-2340
(541) 213-8230

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
317
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4113857
BLUE CROSS BLUE SHIELD
TN
01
611653100
US DEPT OF LABOR
TN
01
702040099
CARITEN
TN
Enumeration date
03/21/2007
Last updated
09/20/2019
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