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Individual

PAMELA EILEEN COGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
11 MONUMENT ST, LUBEC, ME 04652-1015
(207) 259-0216
Mailing address
918 N LUBEC RD, LUBEC, ME 04652-3239
(207) 259-0216

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC5781
ME
101YM0800X
Mental Health Counselor
XL5101
ME

Other

Enumeration date
11/19/2018
Last updated
08/19/2022
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