James R Coffman, D MIN

Individual provider Active NPI Professional Counselor · Ripley, TN

NPI 1063574259 · NPPES record last updated Sep 4, 2012

Key facts

NPI
1063574259
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
181 (TN)
Practice address
2112 Curve Woodville Road
Coffman and Company
Ripley, TN 38063-8620
Phone
(731) 612-8544
Fax
(731) 612-8544
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4TNMDPastoral Counselor
90TNMDMarriage & Family Therapist
181TNMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 4 TN
Professional Counselor 101YP2500X 181 TN Yes
Marriage & Family Therapist 106H00000X 90 TN

Addresses

Primary practice location

2112 Curve Woodville Road
Coffman and Company
Ripley, TN 38063-8620

Mailing address

2112 Cuve Woodville Road
Coffman and Company
Ripley, TN 38063-8620
Phone (731) 612-8544

Other providers in Ripley, TN

All providers in Ripley, TN · Professional Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.