Doctor Name: | MARY JANE COKER |
NPI Number: | 1568591014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2002027410 |
Business Practice Address: | 123 E Gay St Suite S-4 Warrensburg, MO - 640931809 |
Business Phone Number: | 6607479242 |
Business Fax Number: | 6607474465 |
Mailing Address: | 1205 Cambridge Dr, WARRENSBURG |
State: | MO |
Postal Code: | 640938913 |
Phone Number: | 6607472335 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2002027410 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MO |
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 |