Provider Demographics
NPI:1144650359
Name:COCHRAN, PATRICIA ALBANO (MA, LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ALBANO
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:ALBANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1930 CONSTITUTION AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1504
Mailing Address - Country:US
Mailing Address - Phone:720-422-2777
Mailing Address - Fax:
Practice Address - Street 1:1930 CONSTITUTION AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1504
Practice Address - Country:US
Practice Address - Phone:720-422-2777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-25
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000891101YA0400X
COLPC.0015263101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)