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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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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