Individual
MISS REBEKAH EDNA COCKERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9111 CROSS PARK DR, E475, KNOXVILLE, TN 37923-4506
(865) 560-2551
(865) 560-2580
Mailing address
5215 VILLAGE CREST WAY APT 332, KNOXVILLE, TN 37924-5035
(865) 591-3676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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