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Organization

GREENVILLE MERCY

Active
Other names
Greenville Mercy Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON EDWARD COCHRAN LPC/S, LAC, RPT (PROFESSIONAL COUNSELOR)
(864) 593-6511
Entity
Organization

Contact information

Practice address
12 WAITE ST STE B1, GREENVILLE, SC 29607-3226
(864) 613-3073
Mailing address
12 WAITE ST STE B1, GREENVILLE, SC 29607-3226
(864) 613-3073

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
02/21/2025
Last updated
02/21/2025
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