JENNIFER KATE COGGBURN

VALLEJO, CA
NPI1154660421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-02-06
Last Update Date2013-02-06
Business Address
Ms. JENNIFER KATE COGGBURN
408 TENNESSEE ST
VALLEJO, CA 94590-4453
Phone number: 707-554-2397
Mailing Address
Ms. JENNIFER KATE COGGBURN
3257 CONGRESSIONAL CIR
FAIRFIELD, CA 94534-7869
Phone number: 707-386-1001
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