Individual
SARAH MARIE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
Mailing address
PO BOX 787, WILLMAR, MN 56201-0787
(320) 235-4613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305689
MN
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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