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Phetsavanh Coggin, LCPC

Counselor, Mental Health in Woodstock, IL. Individual provider (NPI-1).

NPI number1336537745
StatusActive
Last updated in NPPESOct 13, 2020

Details

NPI
1336537745
Entity type
Individual (NPI-1)
Name
Mrs. Phetsavanh Coggin
Credential
LCPC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 7, 2015
Certification date
Oct 13, 2020
Last updated
Oct 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health180010325ILYes
101YS0200X Counselor, School1001080IL

Other names

  • Phetsavanh Keobouavanh (Former Name)

Practice location

3701 Doty Rd
Woodstock, IL 60098

Phone 815-338-6600 · Fax 815-206-5376

Mailing address

47 Katrina Ln
Sleepy Hollow, IL 60118-3123

Other practice locations

10400 Haligus Rd
Huntley, IL 60142-9553

Phone 815-338-6600 · Fax 815-206-5376

4201 W Medical Center Dr
McHenry, IL 60050-8409

Phone 815-338-6600 · Fax 815-206-5376

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Counselor providers in Woodstock, IL

All 27 Mental Health Counselor providers in Woodstock · All 686 providers in Woodstock

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