Provider Demographics
NPI:1902621774
Name:COFFRAN BEHAVIORAL CONSULTING
Entity type:Organization
Organization Name:COFFRAN BEHAVIORAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COFFRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-222-2789
Mailing Address - Street 1:18 CARDINAL LN, CLAREMONT, NH 03743
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743
Mailing Address - Country:US
Mailing Address - Phone:636-222-2789
Mailing Address - Fax:
Practice Address - Street 1:18 CARDINAL LN, CLAREMONT, NH 03743
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743
Practice Address - Country:US
Practice Address - Phone:636-222-2789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty