Individual
CHANTAL C. COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
352 LAFAYETTE ST, SALEM, MA 01970-5348
(978) 542-6413
(978) 542-7121
Mailing address
352 LAFAYETTE ST, SALEM, MA 01970-5348
(978) 542-6413
(978) 542-7121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2300913
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2300913
MA
Other
Enumeration date
10/01/2018
Last updated
06/18/2025
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