Individual
AMANDA COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LSW.0009920546
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09925754
CO
Other
Enumeration date
07/27/2015
Last updated
01/21/2022
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