Organization
COUGHLIN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNA COUGHLIN (OWNER)
(207) 751-8518
Entity
Organization
Contact information
Practice address
63 ELM ST STE A, TOPSHAM, ME 04086-1424
(207) 751-8518
Mailing address
63 ELM ST STE A, TOPSHAM, ME 04086-1424
(207) 751-8518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8502
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194977371
INDIVIDUAL NPI
ME
Enumeration date
10/19/2011
Last updated
09/16/2013
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