Provider Demographics
NPI:1003957150
Name:MLCOCH, CHERYL DENESE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:DENESE
Last Name:MLCOCH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23608 E FREMONT CIR
Mailing Address - Street 2:UNIT 105
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2615
Mailing Address - Country:US
Mailing Address - Phone:801-390-9965
Mailing Address - Fax:
Practice Address - Street 1:3263 FRASER ST
Practice Address - Street 2:SUITE 3
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-1217
Practice Address - Country:US
Practice Address - Phone:303-371-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5731101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health