MR. Delpha Coffman III, THW, CADC-R, QMHP-R
NPI #1205497245 in Prineville, Oregon
Provider Information
- NPI Number
- 1205497245
- Entity Type
- Individual
- Name
- MR. Delpha Coffman III, THW, CADC-R, QMHP-R
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- THW, CADC-R, QMHP-R
- Enumeration Date
- Jun 20, 2019
- Last Updated
- May 13, 2024
Practice Location
- Address
- 1059 NW MADRAS HWY
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-1416
- Phone
- (541) 323-5330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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