Provider Demographics
NPI:1033776083
Name:COCHRANE, LESLIE VON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:VON
Last Name:COCHRANE
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 1:123 SAND MOUNTAIN DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-1647
Mailing Address - Country:US
Mailing Address - Phone:256-878-3809
Mailing Address - Fax:
Practice Address - Street 1:123 SAND MOUNTAIN DR NW
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-1647
Practice Address - Country:US
Practice Address - Phone:256-878-3809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-24
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC04651101YM0800X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health