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Contact Information

MICHAEL E COFFMAN JR, MSW, LGSW, CAC,ICADC
448 LEONARD AVE
FAIRMONT, WV26554-3843
 Phone: 304-366-7174
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MICHAEL E COFFMAN JR · (Male)

NPI # 1366654139
Status Active
Credentials MSW, LGSW, CAC,ICADC
Entity Individual
Enumeration date 05/04/2007
Last updated 07/13/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 06-111
  • WV License # 112279
  • WV License # BP00943419
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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