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:
Health care specialties
| Specialty | Code | License # | 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 | Sep 11th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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