Individual
MARK COGDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
128 E OLIN AVE STE 100, MADISON, WI 53713-1467
(608) 252-1320
(608) 252-1333
Mailing address
128 E OLIN AVE STE 100, MADISON, WI 53713-1467
(608) 252-1320
(608) 252-1333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3841-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3841-226
STATE LICENSE
WI
01
—
8596
WI DEPARTMENT OF SAFETY & PROFESSIONAL SERVICE
WI
Enumeration date
01/14/2019
Last updated
06/20/2022
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