CAROLE ANN COUGHLIN

GLENDALE, AZ
NPI1184867830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC1608)
Enumeration Date2009-04-10
Last Update Date2009-04-10
Business Address
-- CAROLE ANN COUGHLIN MAPC, LISAC, CCJP
5008 W GLENDALE AVE
GLENDALE, AZ 85301-2751
Phone number: 623-930-9317
Mailing Address
-- CAROLE ANN COUGHLIN MAPC, LISAC, CCJP
5008 W GLENDALE AVE
GLENDALE, AZ 85301-2751
Phone number: 623-930-9317