Provider Demographics
NPI:1548424930
Name:COORE, ALLISON BROOKSHIRE (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:BROOKSHIRE
Last Name:COORE
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1152 FORREST RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8181
Mailing Address - Country:US
Mailing Address - Phone:704-547-0545
Mailing Address - Fax:
Practice Address - Street 1:1152 FORREST RIDGE DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-8181
Practice Address - Country:US
Practice Address - Phone:704-575-4028
Practice Address - Fax:704-547-0545
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2010-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health