person
Gary Allen Cochran, CADCIIQMHA
Addiction (Substance Use Disorder) Counselor in Dallas, Oregon
NPI 1629256151

Gary Allen Cochran is an Addiction (Substance Use Disorder) Counselor based in Dallas, OR and is specialized in Addiction (Substance Use Disorder). Gary Allen Cochran practices in Dallas, OR and has the professional credentials of CADCIIQMHA. The NPI Number for Gary Allen Cochran is 1629256151 and holds a License No. 03-11-08 (Oregon).

The current practice location address for Gary Allen Cochran is 185 S.w. Academy St., Dallas, OR and can be reached out via phone at 503-585-3012 and via fax at 503-585-3012.

Location: 185 S.w. Academy St., Dallas, OR, 97338-1996
person
Provider Profile Details
NPI Number
1629256151
Provider Name
Gary Allen Cochran
Credential
CADCIIQMHA
Provider Entity Type
Individual
Gender
Male
Address
185 S.w. Academy St., Dallas, OR, 97338-1996
Phone Number
503-585-3012
Fax Number
503-585-3012
Provider Enumeration Date
02/06/2008
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
185 S.w. Academy St.
City
State
Zip
97338-1996
Phone Number
503-585-3012
Fax Number
503-585-3012
person
Provider Business Mailing Address Details
Address
185 S.w. Academy St.
City
State
Zip
97338-1996
Phone Number
503-585-3012
Fax Number
503-585-3012
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
03-11-08 (Oregon)
Definition
Definition to come...
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