| Coffman Counseling Llc | |
|
763 Revere St Bourbonnais IL 60914-4563 | |
| (815) 549-0981 | |
| Not Available |
| Full Name | Coffman Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 763 Revere St, Bourbonnais, Illinois |
| Authorized Official Name and Position | Jared Coffman (THERAPIST) |
| Authorized Official Contact | 8155490981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffman Counseling Llc 763 Revere St Bourbonnais IL 60914-4563 Ph: (815) 549-0981 | Coffman Counseling Llc 763 Revere St Bourbonnais IL 60914-4563 Ph: (815) 549-0981 |
| NPI Number | 1740958172 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740958172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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