Koffman, Adrienne Melissa

Koffman, Adrienne Melissa is an individual health care provider with primary practice located at 4625 S 2300 E Ste 211 , Holladay UT 84117-4582. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koffman, Adrienne Melissa can be contacted via phone (801) 865-1453.

Contact Information

Primary practice address
4625 S 2300 E Ste 211 Holladay UT 84117-4582
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6625159-3506 Utah

Profile Details

NPI number 1992909170
LBN Legal business name Koffman, Adrienne Melissa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Mar 26th, 2015 - about 10 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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