Individual
LAUREN COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP-T
Contact information
Practice address
2821 N BROOKSIDE DR, AUGUSTA, KS 67010
(316) 425-0073
Mailing address
524 N MAIN ST, EL DORADO, KS 67042-2024
(575) 223-8513
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03231-T
KS
Other
Enumeration date
07/14/2023
Last updated
09/30/2024
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