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Individual
MR. WILLIAM JONAS COATSWORTH
Active
Individual
MR. WILLIAM JONAS COATSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LAC, CAC-II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4984
SC
Other
Enumeration date
04/19/2017
Last updated
12/16/2020
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