Individual
AMANDA COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA, QMHS
Contact information
Practice address
517 3RD AVE, CHESAPEAKE, OH 45619-1036
(740) 451-1455
Mailing address
PO BOX 108, IRONTON, OH 45638-0108
(740) 532-1613
(740) 879-0599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.179365
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0472392
—
OH
Enumeration date
01/06/2022
Last updated
01/23/2024
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