Individual
MS. KATHLEEN ROBERTS COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 E MAIN ST STE 500, SALEM, VA 24153-4325
(540) 375-7307
Mailing address
508 E MAIN ST STE 500, SALEM, VA 24153-4325
(540) 375-7307
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012871
VA
Other
Enumeration date
10/16/2023
Last updated
11/21/2023
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