| Doctor Name: | JAMES W COUGHLIN |
| NPI Number: | 1285924225 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 2011009510 |
| Business Practice Address: | 906 Strawberry Ct Nixa, MO - 657149706 |
| Business Phone Number: | 4177085684 |
| Business Fax Number: | |
| Mailing Address: | Po Box 8944, SPRINGFIELD |
| State: | MO |
| Postal Code: | 658018944 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2011 |
| NPI Last Update Date: | 04/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2011009510 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |