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Contact Information

MARIA C COUGHENOUR, LPC
106 SHOPPERS WAY STE 115
BRUNSWICK, GA31525-0522
 Phone: 912-265-7660
 Fax: 912-265-7858
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARIA C COUGHENOUR · (Female)

NPI # 1164502811
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 10/17/2006
Last updated 03/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 232032
  • GA License # LPC003217
  • NC License # 3585
  • GA Medicaid 691501868A
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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