Organization · Type 2 NPI
Cogburn Counseling & Supervision PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Charlotte, NC
NPI number
1043198583
Active
Practice location
1316 Plumcrest Dr
Charlotte, NC 28216-1341
Mailing address
1235 East Blvd, Suite E #176
Charlotte, NC 28203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1043198583
Cogburn Counseling & Supervision PLLC's National Provider Identifier is 1043198583, issued on Aug 22, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Charlotte, NC. The record was last updated on Aug 22, 2025.