Provider Demographics
NPI:1134415607
Name:COCHRAN, ASHLEE IRENE (MS, LPC)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:IRENE
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 754
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74965-0754
Mailing Address - Country:US
Mailing Address - Phone:530-739-8398
Mailing Address - Fax:
Practice Address - Street 1:1135 S WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:WESTVILLE
Practice Address - State:OK
Practice Address - Zip Code:74965-5565
Practice Address - Country:US
Practice Address - Phone:530-739-8398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OKLPC07083101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator