Individual
MR. JASON AARON COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 599-4080
(606) 598-1688
Mailing address
509 MEMORIAL DR STE 2, MANCHESTER, KY 40962-6196
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPCPCC00225353
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100393970
—
KY
Enumeration date
04/15/2013
Last updated
05/11/2020
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