Doctor Name: | DR. CRAIG PATRICK COENEN |
NPI Number: | 1821137159 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EDD |
License Number: | LPC1107 |
Business Practice Address: | 2210 W. Brown Place Sioux Falls, SD - 57105 |
Business Phone Number: | 6053361974 |
Business Fax Number: | 6053369031 |
Mailing Address: | 1125 Madison St, #101 VERMILLION |
State: | SD |
Postal Code: | 570692646 |
Phone Number: | 6053361974 |
Fax Number: | 6053369031 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC1107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |