NPI 1083964811

Sally a Cochran Lmhc PA

Organisation Professional Counselor Brandon, FL

Practice location

Address: 1210 Millennium Parkway Suite 1034, Brandon, FL 33511-4858
Phone: (813) 654-8916
Fax: (813) 654-6952

Authorised official

Name: Sally a Cochran
Title: Sole Owner
Phone: (813) 654-8916

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence MH6024 (FL)

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Registry record

NPI: 1083964811
Entity type: Organization
NPI issued: 19 Sep 2012
Record last updated: 19 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.