| Doctor Name: | JOEY COTHREN |
| NPI Number: | 1487726691 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 6313680-3501 |
| Business Practice Address: | 610 E 3225 N North Ogden, UT - 844147501 |
| Business Phone Number: | 8015641513 |
| Business Fax Number: | |
| Mailing Address: | 610 E 3225 N, NORTH OGDEN |
| State: | UT |
| Postal Code: | 844147501 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 02/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6313680-3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |