Most Relevant Information
Provider Data
| NPI Number: | 1003580341 |
| Provider Name: | JASON COKER |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2021 |
| Last Updated: | 08/02/2021 |
Provider Practice Location
201 22ND ST
ASHLAND
KY
411017803
Practice Location Phone/Fax
| Phone: | 8005628909 |
| Fax: |
Provider Mailing Location
PO BOX 790
ASHLAND
KY
411050790
Provider Mailing Phone/Fax
| Phone: | 6063298588 |
| Fax: |