Provider Demographics
NPI:1093129991
Name:COCHRAN, CHERI (LADC)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 S 38TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-6021
Mailing Address - Country:US
Mailing Address - Phone:402-261-6667
Mailing Address - Fax:402-261-6526
Practice Address - Street 1:2110 S 38TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-6021
Practice Address - Country:US
Practice Address - Phone:402-261-6667
Practice Address - Fax:402-261-6526
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE775101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)