MARK ALAN COGBURN

SHREVEPORT, LA
NPI1952458713
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy364S00000X Clinical Nurse Specialist
(Licence: LA  AP06313)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: LA  1595)
106H00000X Marriage & Family Therapist
(Licence: LA  177)
Enumeration Date2007-01-04
Last Update Date2024-09-17
Business Address
Mr. MARK ALAN COGBURN LPC,LMFT
1541 KINGS HWY
SHREVEPORT, LA 71103
Phone number: 318-626-0000
Mailing Address
Mr. MARK ALAN COGBURN LPC,LMFT
1541 KINGS HWY ATTN: PAYOR CREDENTIALING
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0287
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