Individual
MELODIE RENE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
129 W COSTILLA ST, COLORADO SPRINGS, CO 80903-3813
(719) 471-2514
(719) 227-2119
Mailing address
129 W COSTILLA ST, COLORADO SPRINGS, CO 80903-3813
(719) 471-2514
(719) 227-2119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5572
CO
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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