Individual
DOUGLAS P KOFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
964 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
(330) 424-9844
Mailing address
PO BOX 464, LISBON, OH 44432-0464
(330) 424-1468
(330) 424-9844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0800498
OH
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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