Coughlin, Jacquelyn

Coughlin, Jacquelyn is an sole proprietor health care provider with primary practice located at 10901 Carnelian Ln , Riverview FL 33578-3915. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coughlin, Jacquelyn can be contacted via phone (813) 967-5616.

Contact Information

Primary practice address
10901 Carnelian Ln Riverview FL 33578-3915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 10963 Florida

Profile Details

NPI number 1396175980
LBN Legal business name Coughlin, Jacquelyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2013
Last updated Nov 18th, 2013 - about 11 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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