Organization
AUTHENTIC LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETSY RUTH COCHRAN LPC (PRESIDENT AND TREASURER)
(434) 296-5300
Entity
Organization
Contact information
Practice address
1110 ROSE HILL DR., SUITE 200, CHARLOTTESVILLE, VA 22903
(434) 296-5300
(434) 984-2464
Mailing address
1110 ROSE HILL DR., SUITE 200, CHARLOTTESVILLE, VA 22903
(434) 296-5300
(434) 984-2464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003549
VA
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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