Provider Demographics
NPI:1285878454
Name:COHEN, DOUGAS A (MA, LMFT)
Entity type:Individual
Prefix:
First Name:DOUGAS
Middle Name:A
Last Name:COHEN
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8455 FOUNTAIN AVE UNIT 623
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-2547
Mailing Address - Country:US
Mailing Address - Phone:805-216-0974
Mailing Address - Fax:323-654-2227
Practice Address - Street 1:8455 FOUNTAIN AVE UNIT 623
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-2547
Practice Address - Country:US
Practice Address - Phone:805-216-0974
Practice Address - Fax:323-654-2227
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT46915101YA0400X
103K00000X
CAMFC 46915106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst