Provider Information for 1780724534
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JEFFREY M COHEN LPC
Other Names:Professional Name:JEFFREY M COHEN, LPC, LLC MDiv., LPCSex: Male
NPI: 1780724534
Last Updated: 2022-08-24
Certification Date: 2022-08-24
Certification Date: 2022-08-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1780724534 | ||||||||
| Enumeration Date | 2007-02-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1033 ROLLA, MO 65402-1033 United States Phone: 573-578-5497 | Fax: | ||||||||
| Primary Practice Address | 1202 HOMELIFE PLZ ROLLA, MO 65401-2512 United States Phone: 573-578-5497 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|