Provider Information for 1487189965
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BRITTANY COCKRUM MA, LPC, NCC
Sex: Female
NPI: 1487189965
Last Updated: 2024-02-08
Certification Date: 2024-02-08
Certification Date: 2024-02-08
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1487189965 | ||||||||||||
| Enumeration Date | 2017-04-21 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4842 RIVERWOOD PL BIRMINGHAM, AL 35242-4329 United States Phone: 205-269-8495 | Fax: | ||||||||||||
| Primary Practice Address | 2700 CORPORATE DR STE 200 BIRMINGHAM, AL 35242-2733 United States Phone: 205-269-8495 | Fax: | ||||||||||||
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