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Individual

JEFFREY M COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1202 HOMELIFE PLZ, ROLLA, MO 65401-2512
(573) 578-5497
Mailing address
PO BOX 1033, ROLLA, MO 65402-1033
(573) 578-5497

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004005226
MO

Other

Enumeration date
02/08/2007
Last updated
08/24/2022
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