Organization
COFFMAN 405 COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY L COFFMAN-TALLEY LPC (LICENCED PROFESSIONAL COUNSELOR)
(405) 201-1722
Entity
Organization
Contact information
Practice address
624 W INDEPENDENCE ST STE 105, SHAWNEE, OK 74804-4329
(405) 481-4120
Mailing address
2 LAKEVIEW CIR, SHAWNEE, OK 74804-3021
(405) 201-1722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/04/2021
Last updated
12/09/2024
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