Individual
TERRY J. COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC,
Contact information
Practice address
150 OLDE GREENWICH DR, FREDERICKSBURG, VA 22408-4063
(540) 898-6851
(540) 898-6398
Mailing address
150 OLDE GREENWICH DR, FREDERICKSBURG, VA 22408-4063
(540) 898-6851
(540) 898-6398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710001122
VA
101YP2500X
Professional Counselor
0701002487
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082355
SENTARA
VA
01
—
214991
ANTHEM HEALTHKEEPERS
VA
01
—
2240716
CIGNA
VA
01
—
352119
MAMSI
VA
05
—
5409721
—
VA
01
—
65340001
CARE FIRST BC/BS
VA
Enumeration date
10/01/2006
Last updated
09/11/2025
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