Individual
BARBARA WYNN COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32989
IL
1041C0700X
Clinical Social Worker
Primary
149019158
IL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/18/2017
Last updated
12/04/2020
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