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Mrs. Nicole Tatiana Cochrane, MED,LCPC
Counselor in Downers Grove, Illinois
NPI 1528197621

Nicole Tatiana Cochrane is a Counselor based in Bolingbrook, IL. Nicole Tatiana Cochrane practices in Downers Grove, IL and has the professional credentials of MED,LCPC. The NPI Number for Nicole Tatiana Cochrane is 1528197621 and holds a License No. 180006143 (Illinois).

The current practice location address for Nicole Tatiana Cochrane is 5117 Main St., Downers Grove, IL and can be reached out via phone at 630-669-6033 and via fax at 630-324-7147. You can also correspond with Nicole Tatiana Cochrane through the mailing address at 872 TAM O SHANTER CIR, BOLINGBROOK, IL - 60440 (mailing address contact number: 630-669-6033).

Location: 5117 Main St., Downers Grove, IL, 60440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528197621
Provider Name
Nicole Tatiana Cochrane
Credential
MED,LCPC
Provider Entity Type
Individual
Gender
Female
Address
5117 Main St., Downers Grove, IL, 60440
Phone Number
630-669-6033
Fax Number
630-324-7147
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2300602 01 IL CIGNA BEHAVIORAL HEALTH
02233003 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5117 Main St.
City
Downers Grove
State
Illinois
Zip
60515
Phone Number
630-669-6033
Fax Number
630-324-7147
person
Provider Business Mailing Address Details
Address
872 Tam O Shanter Cir
City
Bolingbrook
State
Illinois
Zip
60440
Phone Number
630-669-6033
Fax Number
630-324-7147
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180006143 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180006143 (Illinois)
Definition
Definition to come...
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