Individual
AILISH COUGHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.A.T
Contact information
Practice address
125 E 23RD ST STE 511, NEW YORK, NY 10010-4511
(917) 519-4592
Mailing address
125 E 23RD ST STE 511, NEW YORK, NY 10010-4511
(917) 519-4592
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001203-1
NY
Other
Enumeration date
10/13/2014
Last updated
07/03/2024
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