Provider Demographics
NPI:1346076478
Name:FRENCH-COFFEE, GABRIELLE (MT-BC)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:FRENCH-COFFEE
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 CHERRY HILL DR STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-5920
Mailing Address - Country:US
Mailing Address - Phone:573-303-5772
Mailing Address - Fax:
Practice Address - Street 1:1905 CHERRY HILL DR STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5920
Practice Address - Country:US
Practice Address - Phone:573-303-5772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO18194225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist