MR. Wade Horton Cockburn, MA, PHD(C)

NPI #1659510238 in Toledo, Oregon

Provider Information

NPI Number: 1659510238
Entity Type: Individual
Name: MR. Wade Horton Cockburn, MA, PHD(C)
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MA, PHD(C)
Enumeration Date: Feb 5, 2009
Last Updated: Feb 5, 2009

Practice Location

Address: 805 NE RESERVOIR LN
City: Toledo
State: Oregon
ZIP Code: 97391-1335
Phone: (541) 336-2254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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