person
Mark A Coffman, LPC,LADAC
Professional Counselor in Russellville, Arkansas
NPI 1780775288

Mark A Coffman is a Professional Counselor based in Springdale, AR and is specialized in Professional. Mark A Coffman practices in Russellville, AR and has the professional credentials of LPC,LADAC. The NPI Number for Mark A Coffman is 1780775288 and holds a License No. P0505033 (Arkansas).

The current practice location address for Mark A Coffman is 110 Skyline Dr, Russellville, AR and can be reached out via phone at 479-968-1298 and via fax at 479-968-6053.

Location: 110 Skyline Dr, Russellville, AR, 72762-6683
person
Provider Profile Details
NPI Number
1780775288
Provider Name
Mark A Coffman
Credential
LPC,LADAC
Provider Entity Type
Individual
Gender
Male
Address
110 Skyline Dr, Russellville, AR, 72762-6683
Phone Number
479-968-1298
Fax Number
479-968-6053
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227466719 05 AR
453054130 01 AR AMBETTER IRS# 453054130
institution
Provider Business Practice Location Address Details
Address
110 Skyline Dr
City
State
Zip
72801-3362
Phone Number
479-968-1298
Fax Number
479-968-6053
person
Provider Business Mailing Address Details
Address
110 Skyline Dr
City
State
Zip
72801-3362
Phone Number
479-968-1298
Fax Number
479-968-6053
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P0505033 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P0505033 (Arkansas)
Definition
Definition to come...
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