Phillip Coe Jr., cdca
Counselor, Addiction (Substance Use Disorder) in Euclid, OH. Individual provider (NPI-1).
NPI number1710488564
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1710488564
- Entity type
- Individual (NPI-1)
- Name
- Phillip Coe Jr.
- Credential
- cdca
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2018
- Last updated
- Feb 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.100878 | OH | Yes |
Practice location
22639 Euclid AveEuclid, OH 44117-1622
Phone 216-650-1775
Mailing address
31801 Glenhurst RdWillowick, OH 44095-3863
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