Individual
CANDICE LYNNE COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTI, CADC II
Contact information
Practice address
270 W 14TH ST, SAN PEDRO, CA 90731-4315
(714) 809-7831
Mailing address
270 W 14TH ST, SAN PEDRO, CA 90731-4315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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