Individual
MR. NOAL BAXTER COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.M.F.T.
Contact information
Practice address
80 LAKELAND CIRCLE, PETAL, MS 39465
(601) 297-1886
Mailing address
80 LAKELAND CIRCLE, PETAL, MS 39465
(601) 297-1886
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFT001031
GA
106H00000X
Marriage & Family Therapist
Primary
T0382
MS
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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