Individual provider · Type 1 NPI

Stephan Coddington

Mental Health Counselor · Gardner, MA

NPI number 1144745662 Active

Practice location

205 School St
Gardner, MA 01440

Mailing address

243 Heard St
Worcester, MA 01603-1739

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144745662

Stephan Coddington's National Provider Identifier is 1144745662, issued on Aug 5, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gardner, MA. The record was last updated on Aug 5, 2017.