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General NPI Number Information
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NPI Number | 1487189965
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Entity Type | Individual
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Provider Name | BRITTANY COCKRUM MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2017
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 2700 CORPORATE DR STE 200
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2733
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Country | US
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Telephone | 205-269-8495
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Fax |
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Provider Business Mailing Address
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Address Line | 4842 RIVERWOOD PL
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City | BIRMINGHAM
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State | AL
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Zip | 35242-4329
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Country | US
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Telephone | 205-269-8495
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2694
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4109
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License Number State | AL
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