Individual
SANDRA ANN COAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
128 CARRIAGE HILL DR, NEWINGTON, CT 06111-2006
(203) 886-7836
Mailing address
128 CARRIAGE HILL DR, NEWINGTON, CT 06111-2006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003350
CT
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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