Coburn, Judith A.

Coburn, Judith A. is an sole proprietor health care provider with primary practice located at 121 E Grand Ave Suite 210, Laramie WY 82070-3600. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Coburn, Judith A. can be contacted via phone (307) 745-8335.

Contact Information

Primary practice address
121 E Grand Ave Suite 210 Laramie WY 82070-3600
Phone: (307) 745-8335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LP-837 Wyoming

Profile Details

NPI number 1821207473
LBN Legal business name Coburn, Judith A.
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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