Doctor Name: | LOIS JEAN COON |
NPI Number: | 1144475609 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 000545 |
Business Practice Address: | 476 Felt Rd South Windsor, CT - 060742925 |
Business Phone Number: | 8606444434 |
Business Fax Number: | |
Mailing Address: | 476 Felt Rd, SOUTH WINDSOR |
State: | CT |
Postal Code: | 060742925 |
Phone Number: | 8606444434 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 000545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |