Cockrell, Glenn

Cockrell, Glenn is an individual health care provider with primary practice located at 1325 Wyoming St , Missoula MT 59801-1725. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cockrell, Glenn can be contacted via phone (406) 532-9800.

Contact Information

Primary practice address
1325 Wyoming St Missoula MT 59801-1725
Phone: (406) 532-9800
Fax: (406) 541-3032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1190 Montana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 913 Montana

Profile Details

NPI number 1245453950
LBN Legal business name Cockrell, Glenn
Credentials LCSW, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Nov 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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