Gregory Alan Coffos
Counselor in San Bernardino, CA. Individual provider (NPI-1).
NPI number1295290476
StatusActive
Last updated in NPPESFeb 1, 2019
Details
- NPI
- 1295290476
- Entity type
- Individual (NPI-1)
- Name
- Gregory Alan Coffos
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2019
- Last updated
- Feb 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
600 N Arrowhead AveSan Bernardino, CA 92401-1164
Phone 909-963-5355
Mailing address
600 N Arrowhead AveSan Bernardino, CA 92401-1164
Phone 909-963-5355
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