Jonathan Nelson Cogburn LMFT

NPI 1053663534 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1053663534
Gender Male
Enumeration Date 10/09/2012
Last Updated 01/02/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
1938 MIMOSA DR
ABILENE TX, 79603-4312, US
Phone (325) 200-7404
Fax
Business Location
1938 MIMOSA DR
ABILENE TX, 79603-4312, US
Phone (325) 200-7404
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Texas
License Number 201641
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According to our database, Mr. Jonathan Nelson Cogburn LMFT NPI is 1053663534, taxonomy code is 106H00000X and license number is 201641, license state is located at Texas. Jonathan Nelson Cogburn LMFT physically located at 1938 Mimosa Dr, Abilene TX, 79603-4312. NPI Number Jonathan Nelson Cogburn LMFT has the Individual type.

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1053663534 NPI number is provided on an as is basis without warranty of any kind. 1053663534 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Nelson Cogburn LMFT are for informational purposes only.