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Mark Cogburn, LPC,LMFT — NPI 1952458713, Shreveport, LA | NPI Central

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NPI 1952458713

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Mark Cogburn, LPC,LMFT

NPI 1952458713 · Clinical Nurse Specialist · Shreveport, LA

Provider details

NPI number: 1952458713
Entity type: Individual
Primary specialty: Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Credential: LPC,LMFT
Sex: Male
Sole proprietor: Yes
License: 1595 (LA)

Specialties & taxonomies

Clinical Nurse SpecialistPrimary364S00000XLicense AP06313 (LA)
Physician Assistants & Advanced Practice Nursing Providers
Professional Counselor101YP2500XLicense 1595 (LA)
Behavioral Health & Social Service Providers
Marriage & Family Therapist106H00000XLicense 177 (LA)
Behavioral Health & Social Service Providers

Practice location

1541 Kings Hwy

Shreveport, LA 71103

Phone: (318) 626-0000

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

1541 Kings Hwy

Shreveport, LA 71103-4228

Additional practice locations (1)

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 675-4881
Fax: (318) 675-5069

Registry dates

Enumerated: 2007-01-04
Last updated: 2024-09-17
Certified: 2024-09-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.