Individual
JEREMY COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
610 1/2 MAIN ST STE F, PT PLEASANT, WV 25550-1121
(304) 812-5426
Mailing address
610 1/2 MAIN ST STE F, PT PLEASANT, WV 25550-1121
(304) 812-5426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
104100000X
Social Worker
Primary
BP00947526
WV
Other
Enumeration date
05/09/2022
Last updated
05/13/2026
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