Individual
BRIDGET B COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1307 E ELM ST, ATHENS, AL 35611-5318
(256) 232-3661
(256) 341-0747
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 355-6091
(256) 341-0747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
2442C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000025
—
AL
01
—
515-97807
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/16/2009
Last updated
04/16/2012
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