person
Vicky Cochran
Addiction (Substance Use Disorder) Counselor in Pekin, Illinois
NPI 1073187514

Vicky Cochran is an Addiction (Substance Use Disorder) Counselor based in Pekin, IL and is specialized in Addiction (Substance Use Disorder). Vicky Cochran practices in Pekin, IL. The NPI Number for Vicky Cochran is 1073187514 and holds a License No. (Illinois).

The current practice location address for Vicky Cochran is 3248 Vandever Ave, Pekin, IL and can be reached out via phone at 309-347-5579.

Location: 3248 Vandever Ave, Pekin, IL, 61554-6274
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Provider Profile Details
NPI Number
1073187514
Provider Name
Vicky Cochran
Credential
Provider Entity Type
Individual
Gender
Female
Address
3248 Vandever Ave, Pekin, IL, 61554-6274
Phone Number
309-347-5579
Fax Number
Provider Enumeration Date
05/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 01 TAXONOMY
institution
Provider Business Practice Location Address Details
Address
3248 Vandever Ave
City
State
Zip
61554-6274
Phone Number
309-347-5579
Fax Number
person
Provider Business Mailing Address Details
Address
3248 Vandever Ave
City
State
Zip
61554-6274
Phone Number
309-347-5579
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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