Individual
SALLIE JANE COFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 E JEFFERSON AVE, DETROIT, MI 48207-4125
(313) 396-1800
Mailing address
1959 E JEFFERSON AVE, DETROIT, MI 48207-4125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6301013980
MI
101YM0800X
Mental Health Counselor
6301013980
MI
103TC1900X
Counseling Psychologist
Primary
6301013980
MI
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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