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Mr. Wade Horton Cockburn, MA,PHD(C)
Counselor in Toledo, Oregon
NPI 1659510238

Wade Horton Cockburn is a Counselor based in Toledo, OR. Wade Horton Cockburn practices in Toledo, OR and has the professional credentials of MA,PHD(C). The NPI Number for Wade Horton Cockburn is 1659510238 and holds a License No. 106 (Oregon).

The current practice location address for Wade Horton Cockburn is 805 Ne Reservoir Ln, Toledo, OR and can be reached out via phone at 541-336-2254 and via fax at 541-336-1803.

Location: 805 Ne Reservoir Ln, Toledo, OR, 97391-1335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659510238
Provider Name
Wade Horton Cockburn
Credential
MA,PHD(C)
Provider Entity Type
Individual
Gender
Male
Address
805 Ne Reservoir Ln, Toledo, OR, 97391-1335
Phone Number
541-336-2254
Fax Number
541-336-1803
Provider Enumeration Date
02/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
93-0698327 01 OR PRIVATE NONPROFIT
institution
Provider Business Practice Location Address Details
Address
805 Ne Reservoir Ln
City
Toledo
State
Oregon
Zip
97391-1335
Phone Number
541-336-2254
Fax Number
541-336-1803
person
Provider Business Mailing Address Details
Address
805 Ne Reservoir Ln
City
Toledo
State
Oregon
Zip
97391-1335
Phone Number
541-336-2254
Fax Number
541-336-1803
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
106 (Oregon)
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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