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Individual

MS. JESSICA L COFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACMHC

Contact information

Practice address
5691 S REDWOOD RD UNIT 15, TAYLORSVILLE, UT 84123-5485
(801) 281-4084
(801) 281-4083
Mailing address
1687 E WYLIE LN, DRAPER, UT 84020-7675

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8617209-6009
UT

Other

Enumeration date
04/18/2013
Last updated
04/18/2013
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