Individual
JENNIFER CARON COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CLT, NBC-HWC
Contact information
Practice address
19723 ISLAND AVE, ASHBURN, VA 20147-2513
(703) 728-6333
Mailing address
19723 ISLAND AVE, ASHBURN, VA 20147-2513
(703) 728-6333
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
Primary
0019013989
VA
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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