MR. Jordan Alan Coughlen

NPI #1992568570 in Verona, Pennsylvania

Provider Information

NPI Number: 1992568570
Entity Type: Individual
Name: MR. Jordan Alan Coughlen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 5, 2024
Last Updated: Feb 5, 2024

Practice Location

Address: 5932 HEBERTON DR
City: Verona
State: Pennsylvania
ZIP Code: 15147-3325
Phone: (949) 923-0595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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