Thomas A Coffin LCSW, LADC

NPI 1942495106 - Counselor - 101YA0400X

NPI Details
NPI 1942495106
Gender Male
Enumeration Date 09/11/2007
Last Updated 09/11/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
302 STEVENS AVE
PORTLAND ME, 04103-2628, US
Phone (207) 865-0443
Fax
Business Location
PO BOX 164
FREEPORT ME, 04032-0164, US
Phone (207) 865-0443
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Maine
License Number LC3739
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According to our database, Thomas A Coffin LCSW, LADC NPI is 1942495106, taxonomy code is 101YA0400X and license number is LC3739, license state is located at Maine. Thomas A Coffin LCSW, LADC physically located at 302 Stevens Ave, Portland ME, 04103-2628. NPI Number Thomas A Coffin LCSW, LADC has the Individual type.

1942495106 NPI number is provided on an as is basis without warranty of any kind. 1942495106 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas A Coffin LCSW, LADC are for informational purposes only.