Individual
SHAUN COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRSW
Contact information
Practice address
440 AMHERST ST, NASHUA, NH 03063-1225
(603) 889-6147
Mailing address
100 W PEARL ST, NASHUA, NH 03060-3343
(603) 889-6147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0131
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131
—
NH
Enumeration date
07/01/2019
Last updated
07/13/2022
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