Provider Demographics
NPI:1841608692
Name:COCHRAN COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:COCHRAN COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:509-378-6688
Mailing Address - Street 1:6917 W GRANDRIDGE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7737
Mailing Address - Country:US
Mailing Address - Phone:509-378-6688
Mailing Address - Fax:509-735-6966
Practice Address - Street 1:6917 W GRANDRIDGE BLVD STE D
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7737
Practice Address - Country:US
Practice Address - Phone:509-378-6688
Practice Address - Fax:509-735-6966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008131251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health