Individual provider · Type 1 NPI

Phetsavanh Coggin, LCPC

Mental Health Counselor · Woodstock, IL

NPI number 1336537745 Active

Practice location

3701 Doty Rd
Woodstock, IL 60098

Fax (815) 206-5376

Mailing address

47 Katrina Ln
Sleepy Hollow, IL 60118-3123

Other practice locations

  • 4201 W Medical Center Dr, Mchenry, IL 60050-8409 · (815) 338-6600
  • 10400 Haligus Rd, Huntley, IL 60142-9553 · (815) 338-6600

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180010325 (IL)
School Counselor 101YS0200X1001080 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1336537745

Phetsavanh Coggin, LCPC's National Provider Identifier is 1336537745, issued on Jan 7, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodstock, IL. The record was last updated on Oct 13, 2020.