Christy Cocklin
Clinic/Center, Mental Health (Including Community Mental Health Center) in Wadsworth, OH. Individual provider (NPI-1).
NPI number1073135133
StatusActive
Last updated in NPPESMay 12, 2020
Details
- NPI
- 1073135133
- Entity type
- Individual (NPI-1)
- Name
- Christy Cocklin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2020
- Certification date
- May 12, 2020
- Last updated
- May 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
202 West StWadsworth, OH 44281-1556
Phone 330-606-8633
Mailing address
202 West StWadsworth, OH 44281-1556
Phone 330-606-8633
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