Individual
TREVOR COCHERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
11825 ERAGON DR, AUSTIN, TX 78754-3105
(918) 964-6547
Mailing address
11825 ERAGON DR, AUSTIN, TX 78754-3105
(918) 964-6547
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
16502
TX
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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