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Contact Information

MARK D COAKLEY, LPC
715 S. PLUM ST
MARYSVILLE, OH43040
 Phone: 937-644-9192
 Fax: 937-644-3426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MARK D COAKLEY · (Male)

NPI Number 1225326267
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 07/12/2011
Last updated 07/12/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OH License # C.0700018
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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