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NPI Code Detail

MEDICARE: NANCY COKER M.A.

MEDICARE: NANCY COKER M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1437224268
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY COKER M.A.
Provider Business Mailing Address
First Line : 321 CASSIDY ST
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-5314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 321 CASSIDY ST
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-5314
Country : US
Telephone Number : 760-721-2171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/08/2007

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Directions to “ NANCY COKER M.A.” Practice Location

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