Cleveland Nathaniel Cockerham JR.

NPI #1104195270 in Yadkinville, North Carolina

Provider Information

NPI Number: 1104195270
Entity Type: Individual
Name: Cleveland Nathaniel Cockerham JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 20, 2011
Last Updated: Dec 20, 2011

Practice Location

Address: 320 E LEE AVE
City: Yadkinville
State: North Carolina
ZIP Code: 27055-8132
Phone: (704) 939-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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