Doctor Name: | MRS. GABRIELLE GORMAN COCKRELL |
NPI Number: | 1093058760 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 15523 |
Business Practice Address: | 4610 Alamance St Baytown, TX - 775213001 |
Business Phone Number: | 2814249130 |
Business Fax Number: | |
Mailing Address: | 4610 Alamance St, BAYTOWN |
State: | TX |
Postal Code: | 775213001 |
Phone Number: | 2814249130 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2013 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 15523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |