Individual
JULIUS ASVELT COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 N 4TH ST, MINNEAPOLIS, MN 55412-2618
(612) 558-8915
Mailing address
2530 17TH AVE NW, NEW BRIGHTON, MN 55112-1621
(612) 558-8915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1075593-1-HCBS
MN
103K00000X
Behavior Analyst
Primary
1075593-1-HCBS
MN
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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