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Maria C. Coughenour Llc
Mental Health Counselor in Brunswick, Georgia
NPI 1023381191

Maria C. Coughenour Llc is a Mental Health Counselor based in Brunswick, GA and is specialized in Mental Health. Maria C. Coughenour Llc practices in Brunswick, GA. The NPI Number for Maria C. Coughenour Llc is 1023381191 and holds a License No. LPC003217 (Georgia).

The current practice location address for Maria C. Coughenour Llc is 2318 Heron St, Brunswick, GA and can be reached out via phone at 912-265-7660 and via fax at 912-265-7858.

Location: 2318 Heron St, Brunswick, GA, 31520-4239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023381191
Provider Name
Maria C. Coughenour Llc
Credential
Provider Entity Type
Organization
Address
2318 Heron St, Brunswick, GA, 31520-4239
Phone Number
912-265-7660
Fax Number
912-265-7858
Provider Enumeration Date
02/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
691501868A 05 GA
institution
Provider Business Practice Location Address Details
Address
2318 Heron St
City
Brunswick
State
Georgia
Zip
31520-4239
Phone Number
912-265-7660
Fax Number
912-265-7858
person
Provider Business Mailing Address Details
Address
2318 Heron St
City
Brunswick
State
Georgia
Zip
31520-4239
Phone Number
912-265-7660
Fax Number
912-265-7858
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC003217 (Georgia)
Definition
Definition to come...
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