| Doctor Name: | MS. LORRAINE M COAKLEY |
| NPI Number: | 1083789317 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LADC |
| License Number: | 000065 |
| Business Practice Address: | 273 Sunwood Drive Shelton, CT - 06484 |
| Business Phone Number: | 2039295661 |
| Business Fax Number: | 2039295661 |
| Mailing Address: | 273 Sunwood Drive, SHELTON |
| State: | CT |
| Postal Code: | 06484 |
| Phone Number: | 2039295661 |
| Fax Number: | 2039295661 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |