Individual
MRS. REBECCA MARIE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Mailing address
651 CANTERBURY DR APT 40B, MYRTLE BEACH, SC 29579-3189
(309) 431-0842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/16/2017
Last updated
09/16/2017
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