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General NPI Number Information
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NPI Number | 1134338726
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Entity Type | Individual
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Provider Name | DOUGLAS SHEPARD COCHRAN-ROBERTS LCPC
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2651 QUINN CT
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City | MISSOULA
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State | MT
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Zip | 59804-1208
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Country | US
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Telephone | 406-240-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 2651 QUINN CT
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City | MISSOULA
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State | MT
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Zip | 59804-1208
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Country | US
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Telephone | 406-240-3510
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 241
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | MT
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