Individual
MICHELE COAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 RIEDEL RD, CROFTON, MD 21114-1614
(240) 416-9527
Mailing address
1625 RIEDEL RD, CROFTON, MD 21114-1614
(240) 416-9527
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1707
MD
101YP2500X
Professional Counselor
PRC13799
DC
Other
Enumeration date
06/24/2014
Last updated
03/27/2024
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