Individual
MR. ANDREW DEAN COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
500 D EAST WOODROW WILSON AVENUE, MAGNOLIA ADDICTION TREATMENT SERVICES, JACKSON, MS 39216-4538
(601) 896-0349
(601) 362-3339
Mailing address
500 D EAST WOODROW WILSON AVENUE, MAGNOLIA ADDICTION TREATMENT SERVICES, JACKSON, MS 39216-4538
(601) 896-0349
(601) 362-3339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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