MEDICARE: TERRENCE R COGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1558294256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRENCE R COGER

Provider Business Mailing Address
First Line	:	1826 TREEVIEW CT APT E
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-2214
Country	:	US
Telephone Number	:	443-801-8097
Fax Number	:

Provider Business Practice Location Address
First Line	:	1826 TREEVIEW CT APT E
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-2214
Country	:	US
Telephone Number	:	443-801-8097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ TERRENCE R COGER ” Practice Location

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