Individual provider · Type 1 NPI
Stephen Robert Coughlin
Mental Health Counselor · San Jose, CA
NPI number
1700026804
Active
Practice location
2001 The Alameda
San Jose, CA 95126-1136
Fax (408) 254-9960
Mailing address
230 Monroe Dr, 14
Mountain View, CA 94040-1066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1700026804
Stephen Robert Coughlin's National Provider Identifier is 1700026804, issued on Mar 2, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Mar 2, 2009.