Doctor Name: | MS. DEBRA JEAN RAGEN-COFFMAN |
NPI Number: | 1003975905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASTER OF ARTS |
License Number: | LPA #A0279 |
Business Practice Address: | 30 S Main St Suite 207 Concord, NH - 033014809 |
Business Phone Number: | 6037176256 |
Business Fax Number: | |
Mailing Address: | 30 S Main St, Suite 207 CONCORD |
State: | NH |
Postal Code: | 033014809 |
Phone Number: | 6037176256 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 01/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPA #A0279 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |