Individual
SHALETTA COCKHERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 N BOLTON AVE, ALEXANDRIA, LA 71303-4405
(318) 445-1250
(318) 445-1493
Mailing address
2116 N BOLTON AVE, ALEXANDRIA, LA 71303-4405
(318) 445-1250
(318) 445-1493
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5261
LA
Other
Enumeration date
02/04/2021
Last updated
02/05/2021
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