Individual
MR. EVERETTE WESLEY COFFMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
690 W MONTROSE ST STE B, CLERMONT, FL 34711-2120
(352) 995-7760
Mailing address
690 W MONTROSE ST STE B, CLERMONT, FL 34711-2120
(352) 995-7760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
18301
FL
101YM0800X
Mental Health Counselor
IMT2839
FL
106H00000X
Marriage & Family Therapist
Primary
3908
FL
Other
Enumeration date
10/27/2016
Last updated
01/30/2024
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