Coughlan, Roger A
Coughlan, Roger A is an individual health care provider with primary practice located at 760 Whalers Way C-200, Ft Collins CO 80525-3370. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Coughlan, Roger A can be contacted via phone (970) 495-4851.Contact Information
Primary practice address
760 Whalers Way C-200
Ft Collins CO 80525-3370
Phone: (970) 495-4851
Fax: (970) 204-7883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 986008 | Colorado |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | Colorado |
Profile Details
| NPI number | 1356335392 |
|---|---|
| LBN Legal business name | Coughlan, Roger A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356335392 | NPPES |
| Colorado | Other | 986008 | LICENSED SOCIAL WORKER |
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