Provider Demographics
NPI:1316126915
Name:COCHRAN, CHRISTINA WESCOTT (NCC, LPC, MS, EDS)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:WESCOTT
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:NCC, LPC, MS, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 ROBIN HOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-2619
Mailing Address - Country:US
Mailing Address - Phone:336-545-7729
Mailing Address - Fax:
Practice Address - Street 1:3008 ROBIN HOOD DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2619
Practice Address - Country:US
Practice Address - Phone:336-545-7729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3643101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor