Organization
ACT FAMILY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON L. COFFEY PSYD, LPC (DIRECTOR)
(540) 220-2703
Entity
Organization
Contact information
Practice address
39 GARRETT STREET, SUITE 109, WARRENTON, VA 20186
(540) 347-2221
(540) 347-2221
Mailing address
39 GARRETT STREET, SUITE 109, WARRENTON, VA 20186
(540) 347-2221
(540) 347-2221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1172
VA
Other
Enumeration date
11/03/2008
Last updated
03/15/2010
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