Individual
MARCELINA COCKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 224-1809
(712) 234-2399
Mailing address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 224-1809
(712) 234-2399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09126
IA
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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