Individual
JEANA COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
180 MAIN ST, BIDDEFORD, ME 04005-2410
(207) 893-3086
Mailing address
74 TEMPLE ST APT 1, SACO, ME 04072-2742
(207) 420-5880
(207) 893-2086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6027
ME
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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