Provider Demographics
NPI:1932060761
Name:COCHRAN, ARIEL FEMALE (PRSS-SUD)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:FEMALE
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:PRSS-SUD
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:
Other - Last Name:JEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PRSS-SUD
Mailing Address - Street 1:830 SPRUCE FORK RD
Mailing Address - Street 2:
Mailing Address - City:BUCKHANNON
Mailing Address - State:WV
Mailing Address - Zip Code:26201-8591
Mailing Address - Country:US
Mailing Address - Phone:304-924-6262
Mailing Address - Fax:
Practice Address - Street 1:34 N KANAWHA ST
Practice Address - Street 2:
Practice Address - City:BUCKHANNON
Practice Address - State:WV
Practice Address - Zip Code:26201-2714
Practice Address - Country:US
Practice Address - Phone:304-924-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV25-915SUD175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist