Individual
MRS. KARLA SUE COUGHENOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LCMHC, LPC
Contact information
Practice address
7007 PORTHOLE PL, SUFFOLK, VA 23435-3543
(757) 814-3436
Mailing address
7007 PORTHOLE PL, SUFFOLK, VA 23435-3543
(252) 305-3369
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13025
NC
133V00000X
Registered Dietitian
—
NC
Other
Enumeration date
10/23/2008
Last updated
07/10/2024
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