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General NPI Number Information
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NPI Number | 1962063990
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Entity Type | Organization
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Legal Business Name | LAURA COCKRELL COUNSELING, LLC
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 210 W CONTINENTAL RD STE 216B
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City | GREEN VALLEY
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State | AZ
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Zip | 85622-3596
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Country | US
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Telephone | 520-222-7442
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Fax |
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Provider Business Mailing Address
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Address Line | 703 W CAMINO CURVITAS
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City | SAHUARITA
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State | AZ
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Zip | 85629-8255
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Country | US
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Telephone | 520-429-7976
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPSIT
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Name | LAURA J. COCKRELL
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Credential | LMFT
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Telephone | 520-222-7442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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