Most Relevant Information
Provider Data
| NPI Number: | 1003393281 |
| Provider Name: | COURTNEY COCKRUM |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/20/2018 |
| Last Updated: | 07/20/2018 |
Provider Practice Location
320 N EISENHOWER AVE
MASON CITY
IA
504011521
Practice Location Phone/Fax
| Phone: | 6412437257 |
| Fax: |
Provider Mailing Location
320 N EISENHOWER AVE P.O. BOX 1338
MASON CITY
IA
504011521
Provider Mailing Phone/Fax
| Phone: | 6412437257 |
| Fax: |