Doctor Name: | CHIARA COBURN-DEES |
NPI Number: | 1194129585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6401012228 |
Business Practice Address: | 13232 Tecumseh Redford, MI - 482394617 |
Business Phone Number: | 3136225007 |
Business Fax Number: | |
Mailing Address: | 13232 Tecumseh, REDFORD |
State: | MI |
Postal Code: | 482394617 |
Phone Number: | 3136225007 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2014 |
NPI Last Update Date: | 10/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401012228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |