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Individual

MARK ANTHONY COEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
505 S 12TH AVE W, VIRGINIA, MN 55792-3099
(218) 749-2877
(218) 749-6033
Mailing address
2104 6TH AVE E, HIBBING, MN 55746-1821
(218) 231-2413

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303198
MN

Other

Enumeration date
04/17/2019
Last updated
04/17/2019
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