Individual
MR. JASON EDWARD COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LAC
Contact information
Practice address
7 PETTIGRU ST, GREENVILLE, SC 29601-3028
(864) 235-7501
(864) 235-7503
Mailing address
7 PETTIGRU ST, GREENVILLE, SC 29601-3028
(864) 235-7501
(864) 235-7503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
596
SC
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
6382
SC
Other
Enumeration date
03/02/2015
Last updated
12/28/2018
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