Coffey, Jarod Matthew
Coffey, Jarod Matthew is an individual health care provider with primary practice located at 417 Biltmore Ave Ste 2E , Asheville NC 28801-4540. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Coffey, Jarod Matthew can be contacted via phone (828) 350-1177.Contact Information
Primary practice address
417 Biltmore Ave Ste 2E
Asheville NC 28801-4540
Phone: (828) 350-1177
Fax: (828) 350-1188
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS 1549 | North Carolina |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCSW C004949 | North Carolina |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004949 | North Carolina |
Profile Details
NPI number | 1356402135 |
---|---|
LBN Legal business name | Coffey, Jarod Matthew |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Nov 16th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356402135 | NPPES |
North Carolina | MEDICAID | 6003407 |
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