Individual
DR. MELISSA E COAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1839 PEARL RD STE 101, BRUNSWICK, OH 44212-3256
(330) 220-9679
Mailing address
1839 PEARL RD STE 101, BRUNSWICK, OH 44212-3256
(440) 379-0942
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0501110
OH
101Y00000X
Counselor
C0501110
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
021164
OH
101YP2500X
Professional Counselor
Primary
E.2203023
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202421
—
OH
Enumeration date
07/25/2011
Last updated
03/18/2024
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