Individual provider · Type 1 NPI

Tia Lynae Cochran

Mental Health Counselor · Chicago, IL

NPI number 1760042949 Active

Practice location

2650 W Montrose Ave Ste 307
Chicago, IL 60618-1561

Mailing address

1321 Upland Dr, Pmb 6900
Houston, TX 77043-4718

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.012407 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1760042949

Tia Lynae Cochran's National Provider Identifier is 1760042949, issued on Jun 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Apr 13, 2022.