Individual
CAMILLE MARI COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
650 SCARBOUROUGH, CANYON LAKE, TX 78133-4529
(830) 964-4390
Mailing address
650 SCARBOUROUGH, CANYON LAKE, TX 78133-4529
(830) 964-4390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79177
TX
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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