| Doctor Name: | JENNIFER COCHRANE-NICOLLS |
| NPI Number: | 1336525443 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.W. |
| License Number: | SC60588009 |
| Business Practice Address: | 117 S. Cedar St. Suite 2 Buckley, WA - 98321 |
| Business Phone Number: | 2537970391 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1462, BUCKLEY |
| State: | WA |
| Postal Code: | 983211462 |
| Phone Number: | 2537970391 |
| Fax Number: | |
| NPI Enumeration Date: | 07/31/2015 |
| NPI Last Update Date: | 07/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SC60588009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |