Individual provider · Type 1 NPI

Mary Coughlin

Mental Health Counselor · Latham, NY

NPI number 1407614472 Active

Practice location

3 Lear Jet Ln Ste 104N
Latham, NY 12110-2314

Fax (518) 662-4266

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X017174 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1407614472

Mary Coughlin's National Provider Identifier is 1407614472, issued on Mar 13, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Latham, NY. The record was last updated on Dec 18, 2025.