Provider Demographics
NPI:1033598933
Name:COCHRAN, ANQUINITA (LPC-S CANDIDATE, LPC)
Entity Type:Individual
Prefix:MS
First Name:ANQUINITA
Middle Name:
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:LPC-S CANDIDATE, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 E MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-5371
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:454 ANDERSON RD S STE 313
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-3398
Practice Address - Country:US
Practice Address - Phone:803-384-7333
Practice Address - Fax:803-497-9311
Is Sole Proprietor?:No
Enumeration Date:2015-05-25
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15109101YP2500X
SC6464101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional