person
Mr. Jason Aaron Coffey
Addiction (Substance Use Disorder) Counselor in Manchester, Kentucky
NPI 1679916191

Jason Aaron Coffey is an Addiction (Substance Use Disorder) Counselor based in Manchester, KY and is specialized in Addiction (Substance Use Disorder). Jason Aaron Coffey practices in Manchester, KY. The NPI Number for Jason Aaron Coffey is 1679916191 and holds a License No. LPCPCC00225353 (Kentucky).

The current practice location address for Jason Aaron Coffey is 56 Marie Langdon Dr, Manchester, KY and can be reached out via phone at 606-599-4080 and via fax at 606-598-1688.

Location: 56 Marie Langdon Dr, Manchester, KY, 40962-6196
person
Provider Profile Details
NPI Number
1679916191
Provider Name
Jason Aaron Coffey
Credential
Provider Entity Type
Individual
Gender
Male
Address
56 Marie Langdon Dr, Manchester, KY, 40962-6196
Phone Number
606-599-4080
Fax Number
606-598-1688
Provider Enumeration Date
04/15/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100393970 05 KY
institution
Provider Business Practice Location Address Details
Address
56 Marie Langdon Dr
City
State
Zip
40962-6329
Phone Number
606-599-4080
Fax Number
606-598-1688
person
Provider Business Mailing Address Details
Address
56 Marie Langdon Dr
City
State
Zip
40962-6329
Phone Number
606-599-4080
Fax Number
606-598-1688
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPCPCC00225353 (Kentucky)
Definition
Definition to come...
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