Individual
EDWARD EARL COFFEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3125 POPLARWOOD CT STE 150, RALEIGH, NC 27604-6433
(919) 395-6945
Mailing address
1221 SWINGLINE WAY, RALEIGH, NC 27610-3272
(919) 395-6945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A14771
NC
Other
Enumeration date
04/18/2019
Last updated
05/20/2019
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