Provider Demographics
NPI:1245656115
Name:COCHRUM, LINDA (LPCC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:COCHRUM
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:COCHRUM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LPCC
Mailing Address - Street 1:5501 WILSHIRE AVE NE STE C
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2569
Mailing Address - Country:US
Mailing Address - Phone:505-237-4020
Mailing Address - Fax:
Practice Address - Street 1:5501 WILSHIRE AVE NE STE C
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2569
Practice Address - Country:US
Practice Address - Phone:505-237-4020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional