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Individual
DR. JANE PHILLIPS COCKRUM
Active
Individual
DR. JANE PHILLIPS COCKRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD IN PSYCHOLOGY
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000259A
IN
103T00000X
Psychologist
LPCC0072
KY
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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