Provider Demographics
NPI:1609314772
Name:COSSE', MARNIE (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:MARNIE
Middle Name:
Last Name:COSSE'
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4342 TUSCANY TRCE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-3399
Mailing Address - Country:US
Mailing Address - Phone:979-202-1937
Mailing Address - Fax:
Practice Address - Street 1:3201 UNIVERSITY DR E STE 325
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3478
Practice Address - Country:US
Practice Address - Phone:979-202-1937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16537101YA0400X
ORC6203101YM0800X
OR101YM0800X
TX85318101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)