Individual
JACQUELYN COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
237 W BERWICK ST, EASTON, PA 18042-6633
(610) 972-3560
Mailing address
237 W BERWICK ST, EASTON, PA 18042-6633
(610) 972-3560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC013036
PA
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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