Cogburn, Mark Alan
Cogburn, Mark Alan is an sole proprietor health care provider with primary practice located at 1501 Kings Hwy , Shreveport LA 71103-4228. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is his primary health care specialty. Cogburn, Mark Alan can be contacted via phone (318) 675-4881.Contact Information
Primary practice address
1501 Kings Hwy
Shreveport LA 71103-4228
Phone: (318) 675-4881
Fax: (318) 675-5069
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1595 | Louisiana |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 177 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | APO6313 | Louisiana |
Profile Details
NPI number | 1952458713 |
---|---|
LBN Legal business name | Cogburn, Mark Alan |
Credentials | LPC,LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 4th, 2007 |
Last updated | Oct 19th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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