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Cleveland Nathaniel Cockerham JR.
Counselor in Yadkinville, North Carolina
NPI 1104195270

Cleveland Nathaniel Cockerham JR. is a Counselor based in Concord, NC. Cleveland Nathaniel Cockerham JR. practices in Yadkinville, NC. The NPI Number for Cleveland Nathaniel Cockerham JR. is 1104195270 and holds a License No. (North Carolina).

The current practice location address for Cleveland Nathaniel Cockerham JR. is 320 E Lee Ave, Yadkinville, NC and can be reached out via phone at 704-939-1100.

Location: 320 E Lee Ave, Yadkinville, NC, 08025-1894
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104195270
Provider Name
Cleveland Nathaniel Cockerham JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
320 E Lee Ave, Yadkinville, NC, 08025-1894
Phone Number
704-939-1100
Fax Number
Provider Enumeration Date
12/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
320 E Lee Ave
City
Yadkinville
State
North Carolina
Zip
27055-8132
Phone Number
704-939-1100
Fax Number
person
Provider Business Mailing Address Details
Address
320 E Lee Ave
City
Yadkinville
State
North Carolina
Zip
27055-8132
Phone Number
704-939-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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