Individual
JOHN COAXUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LPC
Contact information
Practice address
1120 POLARIS PKWY, COLUMBUS, OH 43240-4042
(843) 906-6543
Mailing address
1120 POLARIS PKWY, COLUMBUS, OH 43240-4042
(614) 300-2755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2305029
OH
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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