Individual
JESSICA ANN COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1849 N DR MARTIN LUTHER KING JR DR STE 101, MILWAUKEE, WI 53212-3639
(414) 347-1774
(414) 347-0148
Mailing address
1849 N DR MARTIN LUTHER KING JR DR STE 101, MILWAUKEE, WI 53212-3639
(414) 347-1774
(414) 347-0148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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