Organization Name: | CRISTEN COKER COUNSELING LLC |
NPI Number: | 1023416260 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRISTEN COKER (SOLE PROPRIETOR) |
Mailing Address: | 328 N Ridgewood Ave Suite 1 Edgewater |
State: | FL US |
Postal Code: | 321321618 |
Phone Number: | 3866634495 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2014 |
NPI Last Update Date: | 06/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MH12764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |