Individual
MICHAEL BRIAN COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
9500 FRONT ST S STE 100, LAKEWOOD, WA 98499-9415
(253) 655-0645
Mailing address
509 OLD PACIFIC HWY SE APT B105, OLYMPIA, WA 98513-9570
(360) 559-9969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61365459
WA
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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