Lookup NPI Numbers from the NPI Registry
NPI Profile for CAROLE A COUGHLIN in GLENDALE, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1184867830 |
|
| Status | Active | |
| Credentials | MAPC, LISAC, CCJP | |
| Entity | Individual | |
| Enumeration date | 04/10/2009 | |
| Last updated | 04/10/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CAROLE A COUGHLIN
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CAROLE A COUGHLIN, MAPC, LISAC, CCJP