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Individual

CONNIE COGBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, NCC

Contact information

Practice address
743 HORIZON CT STE 220, GRAND JUNCTION, CO 81506-8716
(970) 310-3406
Mailing address
743 HORIZON CT STE 220, GRAND JUNCTION, CO 81506-8716
(970) 310-3406

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0016047
CO
101YM0800X
Mental Health Counselor
LPCC.0015765
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
887225
NBCC
Enumeration date
12/15/2017
Last updated
08/14/2024
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