Individual
ANGELA COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9257 HELIX MESA WAY, SPRING VALLEY, CA 91977-1210
(314) 288-8846
Mailing address
9257 HELIX MESA WAY, SPRING VALLEY, CA 91977-1210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7904
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
PRIVATE PRACTICE
—
Enumeration date
03/08/2021
Last updated
03/08/2021
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