Individual provider · Type 1 NPI

Myisha Cockerham

Addiction (Substance Use Disorder) Counselor · Winston Salem, NC

NPI number 1215826979 Active

Practice location

1617 S Hawthorne Rd
Winston Salem, NC 27103-4127

Fax (336) 842-6980

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215826979

Myisha Cockerham's National Provider Identifier is 1215826979, issued on Jun 30, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 30, 2025.