| Doctor Name: | DAVID COAN |
| NPI Number: | 1013381771 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CSW |
| License Number: | 357005-3502 |
| Business Practice Address: | 17 N 1150 W Cedar City, UT - 847202343 |
| Business Phone Number: | 4355591067 |
| Business Fax Number: | |
| Mailing Address: | 17 N 1150 W, CEDAR CITY |
| State: | UT |
| Postal Code: | 847202343 |
| Phone Number: | 4355591067 |
| Fax Number: | 4355864268 |
| NPI Enumeration Date: | 11/18/2015 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 357005-3502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |