Doctor Name: | MRS. CATHERINE WALKER COFFEY |
NPI Number: | 1104159128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1465 |
Business Practice Address: | 5611 Highway 80 E Pearl, MS - 392088929 |
Business Phone Number: | 6019396634 |
Business Fax Number: | 6014209252 |
Mailing Address: | Po Box 413, BRANDON |
State: | MS |
Postal Code: | 390430413 |
Phone Number: | 6019396634 |
Fax Number: | 6014209252 |
NPI Enumeration Date: | 09/09/2009 |
NPI Last Update Date: | 09/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |