Individual
KRISTIN LEE COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
02 W MEMORIAL DR, DALLAS, GA 30132
(678) 332-7955
Mailing address
119 DEUN CT, DALLAS, GA 30157-3447
(770) 616-2417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT002096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT002096
MARRIAGE AND FAMILY THERAPIST LICENSE
GA
Enumeration date
02/12/2021
Last updated
02/16/2024
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