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Individual

DR. JOHN COGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MDIV, CCFC, ADVTP

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
103TF0200X
Forensic Psychologist
NLC448 DOC APPROVED
CO
103TF0200X
Forensic Psychologist
Primary
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
09/18/2009
Last updated
09/18/2009
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