Jessica Coghlan
Addiction Counselor (Substance Use Disorder)
11015 Bloomfield Ave
Santa Fe Springs
, California 90670-4601
Jessica Coghlan
Addiction Counselor (Substance Use Disorder)
11015 Bloomfield Ave
Santa Fe Springs
, California 90670-4601
(562) 906-2676
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Jessica Coghlan
- 11015 Bloomfield Ave
- Santa Fe Springs, CA
- Zip : 90670-4601
- Phone : (562) 906-2676
Second Address
- Jessica Coghlan
- 11015 Bloomfield Ave
- Santa Fe Springs, CA
- Zip : 90670-4601
- Phone : (562) 906-2676
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003484668 |
|---|---|
| Provider Name | Jessica Coghlan |
| First Address | Santa Fe Springs, CA 90670-4601 |
| Second Address | Santa Fe Springs, CA 90670-4601 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2021 |
| Last Update Date | 11/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.