Individual
LEONARD COGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CADC III
Contact information
Practice address
887 82ND DR, BLDG C, GLADSTONE, OR 97027
(503) 659-5515
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
12/15/2015
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