| Coughlin Counseling, Llc | |
|
63 Elm St Ste A Topsham ME 04086-1424 | |
| (207) 751-8518 | |
| Not Available |
| Full Name | Coughlin Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 63 Elm St Ste A, Topsham, Maine |
| Authorized Official Name and Position | Brenna Coughlin (OWNER) |
| Authorized Official Contact | 2077518518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coughlin Counseling, Llc 63 Elm St Ste A Topsham ME 04086-1424 Ph: (207) 751-8518 | Coughlin Counseling, Llc 63 Elm St Ste A Topsham ME 04086-1424 Ph: (207) 751-8518 |
| NPI Number | 1942585104 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 09/16/2013 |
| Medicare PECOS PAC ID | 0042484206 |
|---|---|
| Medicare Enrollment ID | O20111128000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942585104 | NPI | - | NPPES |
| 1194977371 | Other | ME | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC8502 (Maine) | Primary |
| Provider Name | Brenna Coughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194977371 PECOS PAC ID: 2769656933 Enrollment ID: I20111128000405 |
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