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Individual
JEANETTE M COFFILL
Active
Individual
JEANETTE M COFFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA, QMHS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA192194
OH
101YM0800X
Mental Health Counselor
QMHS
—
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314525
—
OH
05
—
2864002
—
OH
Enumeration date
06/21/2018
Last updated
04/23/2025
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