Cockrell, Terry J.

Cockrell, Terry J. is an individual health care provider with primary practice located at 150 Olde Greenwich Dr , Fredericksburg VA 22408-4063. She 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 / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Cockrell, Terry J. can be contacted via phone (540) 898-6851.

Contact Information

Primary practice address
150 Olde Greenwich Dr Fredericksburg VA 22408-4063
Phone: (540) 898-6851
Fax: (540) 898-6398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710001122 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002487 Virginia

Profile Details

NPI number 1760575047
LBN Legal business name Cockrell, Terry J.
Credentials LPC, CSAC,
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760575047 NPPES
Virginia Other 082355 SENTARA
Virginia Other 214991 SENTARA
Virginia Other 214991 SENTARA
Virginia Other 65340001 SENTARA
Virginia MEDICAID 5409721 SENTARA
Virginia Other 214991 SENTARA
Virginia Other 2240716 SENTARA
Virginia Other 352119 SENTARA

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