Provider Demographics
NPI:1174975841
Name:COGNATO, INGRID LOUISE (LMFT #119943)
Entity type:Individual
Prefix:MRS
First Name:INGRID
Middle Name:LOUISE
Last Name:COGNATO
Suffix:
Gender:F
Credentials:LMFT #119943
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4059
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95604-4059
Mailing Address - Country:US
Mailing Address - Phone:530-392-8143
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 4059
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95604-4059
Practice Address - Country:US
Practice Address - Phone:530-392-8143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA119943106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist