Provider Information for 1851893598
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Mrs. BELINDA KOCK LPC, CT
Sex: Female
NPI: 1851893598
Last Updated: 2024-10-28
Certification Date: 2024-10-28
Certification Date: 2024-10-28
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1851893598 | ||||||||||||
| Enumeration Date | 2018-03-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 10488 ROLLING VALLEY DR COTTONDALE, AL 35453-2394 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 429 SKYLAND BLVD STE B3 TUSCALOOSA, AL 35405-4061 United States Phone: 205-614-8016 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 400 VESTAVIA PKWY STE 131 | ||||||||||||
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