Coffman 405 Counseling LLC

NPI #1669043311 in Shawnee, Oklahoma

Provider Information

NPI Number: 1669043311
Entity Type: Organization
Organization Name: Coffman 405 Counseling LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 4, 2021
Last Updated: Dec 9, 2024

Practice Location

Address: 624 W INDEPENDENCE ST STE 105
City: Shawnee
State: Oklahoma
ZIP Code: 74804-4329
Phone: (405) 481-4120

Authorized Official

Name: SHELLEY L COFFMAN-TALLEY, LPC
Title: LICENCED PROFESSIONAL COUNSELOR
Phone: (405) 201-1722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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