Individual
ANDREA DAWN COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1 REDBUD LN, MURPHYSBORO, IL 62966-6551
(618) 534-0767
Mailing address
4346 COUNCIL CIR, JACKSON, MS 39206-5819
(618) 534-0767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
02/22/2022
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