Individual
D. SCOTT COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3183 BEAVER VU DR STE C, BEAVERCREEK, OH 45434-6385
(937) 431-8014
Mailing address
1301 LEMCKE RD, BEAVERCREEK, OH 45434-6726
(937) 902-5808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
90460
OH
101YP2500X
Professional Counselor
0501168
OH
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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