Provider Demographics
NPI:1982852703
Name:CORDERO, JOCELYN GLORY (LMFT)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:GLORY
Last Name:CORDERO
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 WALMART DR
Mailing Address - Street 2:STE 7, PMB 18
Mailing Address - City:CAMDEN
Mailing Address - State:DE
Mailing Address - Zip Code:19934-1374
Mailing Address - Country:US
Mailing Address - Phone:808-343-2829
Mailing Address - Fax:833-804-2660
Practice Address - Street 1:39 N WALNUT ST STE 108
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1467
Practice Address - Country:US
Practice Address - Phone:808-343-2829
Practice Address - Fax:833-804-2660
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-496106H00000X
DEFT-0010127106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist