Individual
ANNITA MICHELLE COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
610 N. LEBANON ST., LEBANON, IN 46052-1716
(765) 680-0071
(765) 436-0455
Mailing address
610 N. LEBANON ST., LEBANON, IN 46052-1716
(765) 680-0071
(765) 436-0455
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002130A
IN
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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