MR. John Thomas Coulbourn, M.A., LPC (UNDER SU)

NPI #1841458262 in Pocola, Oklahoma

Provider Information

NPI Number
1841458262
Entity Type
Individual
Name
MR. John Thomas Coulbourn, M.A., LPC (UNDER SU)
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
M.A., LPC (UNDER SU)
Enumeration Date
Jun 2, 2008
Last Updated
Feb 29, 2012

Practice Location

Address
1405 BLAIR ST
City
Pocola
ZIP Code
74902-2860
Phone
(407) 641-4695

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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