Provider Demographics
NPI:1942644539
Name:COCKFIELD, DANA RAE (MS)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:RAE
Last Name:COCKFIELD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 MCMILLIAN LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-3428
Mailing Address - Country:US
Mailing Address - Phone:843-664-8457
Mailing Address - Fax:843-664-8462
Practice Address - Street 1:1400 MCMILLIAN LN
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-3428
Practice Address - Country:US
Practice Address - Phone:843-664-8457
Practice Address - Fax:843-664-8462
Is Sole Proprietor?:No
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool