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Individual

MARTIN COCHRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
2212 NW 50TH ST, SUITE 241C, OKLAHOMA CITY, OK 73112-8086
(405) 842-7284
(405) 418-0324
Mailing address
2212 NW 50TH ST, SUITE 241C, OKLAHOMA CITY, OK 73112-8086
(405) 842-7284
(405) 418-0324

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
195
OK
101YM0800X
Mental Health Counselor
Primary
2444
OK

Other

Enumeration date
04/12/2010
Last updated
04/12/2010
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