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General NPI Number Information
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NPI Number | 1700471091
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Entity Type | Organization
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Legal Business Name | J COFFEY COUNSELING LLC
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 844 MAIN ST STE 204
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City | LOUISVILLE
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State | CO
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Zip | 80027-1806
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Country | US
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Telephone | 914-844-1162
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Fax |
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Provider Business Mailing Address
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Address Line | 444 FILLMORE CT
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City | LOUISVILLE
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State | CO
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Zip | 80027-2273
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Country | US
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Telephone | 914-844-1162
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN D COFFEY
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Credential | LCSW
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Telephone | 914-844-1162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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