Individual
MR. DOUGLAS SHEPARD COCHRAN-ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2651 QUINN CT, MISSOULA, MT 59804-1208
(406) 240-3510
Mailing address
2651 QUINN CT, MISSOULA, MT 59804-1208
(406) 240-3510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
241
MT
101YS0200X
School Counselor
Primary
—
MT
103TS0200X
School Psychologist
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241
LCPC LICENSE NUMBER
MT
Enumeration date
05/21/2007
Last updated
09/11/2025
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