Individual
MS. JENNIFER KRISTIN COCKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
1323 WINSTEAD PL, GREENSBORO, NC 27408-8024
(336) 419-9301
Mailing address
1323 WINSTEAD PL, GREENSBORO, NC 27408-8024
(336) 419-9301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A17563
—
101YM0800X
Mental Health Counselor
A17563
NC
101YP2500X
Professional Counselor
Primary
A17563
NC
Other
Enumeration date
04/21/2010
Last updated
06/01/2022
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