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Individual

LISA A COCKERHAM-BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2414 BUNKER HILL DR, BATON ROUGE, LA 70808-3303
(225) 218-1960
Mailing address
PO BOX 14206, BATON ROUGE, LA 70898-4206

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2976
LA
106H00000X
Marriage & Family Therapist
895
LA

Other

Enumeration date
03/09/2011
Last updated
03/09/2011
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