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Individual
CRISTA ELIZABETH COFFING-BLAIN
Active
Individual
CRISTA ELIZABETH COFFING-BLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ATR00-141
FL
101YM0800X
Mental Health Counselor
Primary
16915
FL
101YM0800X
Mental Health Counselor
IMH11428
FL
221700000X
Art Therapist
00-141
FL
221700000X
Art Therapist
00-141
NM
Other
Enumeration date
05/20/2014
Last updated
09/20/2024
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