Individual
JARED COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4601 MEDICAL CENTER DR STE F, MCKINNEY, TX 75069-1771
(469) 731-0957
Mailing address
281 CELTIC RD, HOWE, TX 75459-3688
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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