Individual
DR. JANET MOORE COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
231 W MAIN ST, SUITE 2-W, CARBONDALE, IL 62901-2948
(618) 967-4037
(618) 529-4675
Mailing address
1014 N OAKLAND AVE, CARBONDALE, IL 62901-1242
(618) 529-4675
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2186100
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/23/2007
Last updated
07/08/2007
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