Individual
LINDA COCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
872 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5927
(505) 867-2383
(505) 867-7293
Mailing address
1404 LUPINE DR NE, RIO RANCHO, NM 87144-6507
(505) 867-2383
(505) 867-7293
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-0131351
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15004350
—
NM
Enumeration date
07/25/2008
Last updated
04/22/2010
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