Individual
LISA H COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6801 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 768-7318
Mailing address
6801 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 768-7318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336293000
—
VA
Enumeration date
08/20/2019
Last updated
08/20/2019
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