Coggin, Phetsavanh

Coggin, Phetsavanh is an individual health care provider with primary practice located at 3701 Doty Rd , Woodstock IL 60098. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Coggin, Phetsavanh can be contacted via phone (815) 338-6600.

Contact Information

Primary practice address
3701 Doty Rd Woodstock IL 60098
Phone: (815) 338-6600
Fax: (815) 206-5376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180010325 Illinois
Behavioral Health & Social Service Providers / School 101YS0200X 1001080 Illinois

Profile Details

NPI number 1336537745
LBN Legal business name Coggin, Phetsavanh
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2015
Last updated Oct 13th, 2020 - about 4 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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