Provider Demographics
NPI:1992384473
Name:COFER, ADRIANNE (NCC, ALC)
Entity Type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:COFER
Suffix:
Gender:F
Credentials:NCC, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 LAY DAM RD
Mailing Address - Street 2:
Mailing Address - City:CLANTON
Mailing Address - State:AL
Mailing Address - Zip Code:35045-2943
Mailing Address - Country:US
Mailing Address - Phone:205-245-4108
Mailing Address - Fax:
Practice Address - Street 1:808 LAY DAM RD
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-2943
Practice Address - Country:US
Practice Address - Phone:205-245-4108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-03
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3700A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor