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Individual
DR. TRACI KOCHENDORFER
Active
Individual
DR. TRACI KOCHENDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D,PSYD, D.D. FPLC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
133NN1002X
Nutrition Education Nutritionist
—
NC
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
225A00000X
Music Therapist
—
—
Other
Enumeration date
07/14/2009
Last updated
01/08/2022
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