Individual
MR. JOHN DAVID COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
844 MAIN ST STE 204, LOUISVILLE, CO 80027-1806
(914) 844-1162
Mailing address
444 FILLMORE CT, LOUISVILLE, CO 80027-2273
(914) 844-1162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW.0009921122
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000162820
—
CO
Enumeration date
04/09/2018
Last updated
08/19/2021
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