Cockrum, Alicia Dawn

Cockrum, Alicia Dawn is an sole proprietor health care provider with primary practice located at 255 W Napa St Ste K , Sonoma CA 95476-6546. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Cockrum, Alicia Dawn can be contacted via phone (707) 816-2400.

Contact Information

Primary practice address
255 W Napa St Ste K Sonoma CA 95476-6546
Phone: (707) 816-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY23519 California
Behavioral Health & Social Service Providers / Health 103TH0004X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1962737759
LBN Legal business name Cockrum, Alicia Dawn
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2009
Last updated Dec 12th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962737759 NPPES
California MEDICAID 268623

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