Individual
JAMES W COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
906 STRAWBERRY CT, NIXA, MO 65714-9706
(417) 708-5684
Mailing address
PO BOX 8944, SPRINGFIELD, MO 65801-8944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2011009510
MO
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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