Individual
AMY LYNN COCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, CAADC
Contact information
Practice address
121 N CEDAR CREST BLVD, ALLENTOWN, PA 18104-4664
(484) 273-2440
Mailing address
2045 ORCHARD AVE, ALLENTOWN, PA 18104-1032
(484) 358-0649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6855
PA
101YP2500X
Professional Counselor
Primary
PC015364
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6855
PENNSYLVANIA CERTIFICATION BOARD
PA
Enumeration date
10/03/2017
Last updated
04/28/2023
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