Individual provider · Type 1 NPI

Jennifer Kate Coggburn

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1154660421 Active

Practice location

408 Tennessee St
Vallejo, CA 94590-4453

Mailing address

3257 Congressional Cir
Fairfield, CA 94534-7869

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154660421

Jennifer Kate Coggburn's National Provider Identifier is 1154660421, issued on Feb 6, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Feb 6, 2013.