Individual
NICOLE SUSANNE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
667 BANNOCK STREET, DENVER, CO 80204
(303) 602-4820
Mailing address
1418 S MARION ST, DENVER, CO 80210-2328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008193
CO
Other
Enumeration date
08/09/2017
Last updated
03/31/2021
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