| NPI | 1750520599 |
|---|---|
| Professional Name | BOBBY COYNE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X-06325) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 4758) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |