Individual
KIMBERLY COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18426 W DALEA DR, GOODYEAR, AZ 85338-2625
(623) 707-7107
Mailing address
18426 W DALEA DR, GOODYEAR, AZ 85338-2625
(623) 707-7107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-20790
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107111979
—
AZ
Enumeration date
02/22/2023
Last updated
02/22/2023
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