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Individual
MARTINIQUE COFFEY
Active
Individual
MARTINIQUE COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34012200A
IN
101YM0800X
Mental Health Counselor
34012200A
IN
1041C0700X
Clinical Social Worker
34012200A
IN
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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