Individual
MRS. ANNA COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCAS
Contact information
Practice address
891 BEREA CHURCH RD, ELIZABETH CITY, NC 27909-7303
(252) 333-4569
(252) 338-6433
Mailing address
891 BEREA CHURCH RD, ELIZABETH CITY, NC 27909-7303
(252) 333-4569
(252) 338-6433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1733
NC
101YP2500X
Professional Counselor
Primary
7839
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104564
—
NC
Enumeration date
05/27/2010
Last updated
11/09/2011
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