Individual
MR. KURTZ RAYMOND COCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LMFT
Contact information
Practice address
107 EAST MAIN ST., LANDISBURG, PA 17040-0165
(717) 789-2118
(717) 789-2118
Mailing address
PO BOX 165, LANDISBURG, PA 17040-0165
(717) 789-2118
(717) 789-2118
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000430
PA
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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