| NPI | 1780969519 |
|---|---|
| Former Name | JAMIE LYNN COONAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 340930) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW014707) |
| 101YM0800X Counselor, Mental Health (Licence: MA 340930) | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44SC0275800) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW014707) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01275800) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2022-10-10 |