Individual
JENNIFER COCKERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
601 STRADA CIR # 109, MANSFIELD, TX 76063-3212
(214) 500-8204
Mailing address
4606 SAILBOAT DR, MANSFIELD, TX 76063-6745
(214) 500-8204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
81349
TX
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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