Coughenour, Maria C

Coughenour, Maria C is an individual health care provider with primary practice located at 106 Shoppers Way Ste 115 , Brunswick GA 31525-0522. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Coughenour, Maria C can be contacted via phone (912) 265-7660.

Contact Information

Primary practice address
106 Shoppers Way Ste 115 Brunswick GA 31525-0522
Phone: (912) 265-7660
Fax: (912) 265-7858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 3585 North Carolina
Behavioral Health & Social Service Providers / School 103TS0200X 232032 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC003217 Georgia

Profile Details

NPI number 1164502811
LBN Legal business name Coughenour, Maria C
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 8th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164502811 NPPES
Georgia MEDICAID 691501868A

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