JEFFREY BENNION COCKAYNE

IDAHO FALLS, ID
NPI1881719490
Professional NameJEFF COCKAYNE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LCPC - 3730)
Enumeration Date2007-03-20
Last Update Date2007-07-09
Business Address
Mr. JEFFREY BENNION COCKAYNE LCPC
496 A ST
IDAHO FALLS, ID 83402-3617
Phone number: 208-552-7100
Mailing Address
Mr. JEFFREY BENNION COCKAYNE LCPC
2200 S AMMON RD # 1
AMMON, ID 83406-6852
Phone number: 208-522-4795
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