Individual provider · Type 1 NPI

Shaletta Cockheran

Addiction (Substance Use Disorder) Counselor · Alexandria, LA

NPI number 1770175416 Active

Practice location

2116 N Bolton Ave
Alexandria, LA 71303-4405

Fax (318) 445-1493

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCIT-5261 (LA)

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

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About NPI 1770175416

Shaletta Cockheran's National Provider Identifier is 1770175416, issued on Feb 4, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Alexandria, LA. The record was last updated on Feb 5, 2021.