Individual provider · Type 1 NPI
Gary James Coenen
Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI number
1639305865
Active
Practice location
313 Price Pl, Suite 209
Madison, WI 53705-3299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14254-132 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Madison
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About NPI 1639305865
Gary James Coenen's National Provider Identifier is 1639305865, issued on Jun 2, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Jun 2, 2009.