Individual
ELLISHA COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 745-5277
Mailing address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 745-5277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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