Andrew Dean Coffin, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Jackson, MS
NPI 1609198092 · NPPES record last updated Feb 25, 2010
Key facts
- NPI
- 1609198092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 500 D East Woodrow Wilson Avenue
Magnolia Addiction Treatment Services
Jackson, MS 39216-4538 - Phone
- (601) 896-0349
- Fax
- (601) 362-3339
- NPI assigned
- Feb 25, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Addiction Treatment Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
500 D East Woodrow Wilson Avenue
Magnolia Addiction Treatment Services
Jackson, MS 39216-4538
Mailing address
500 D East Woodrow Wilson Avenue
Magnolia Addiction Treatment Services
Jackson, MS 39216-4538
Phone (601) 896-0349
Other providers in Jackson, MS
- Chelsea Leigh Cockrell
- Hannah Cockrell
- Sarah Danielle Cockrell
- Jessica Candace Cody
- Catherine Coffey
- Cogent Healthcare of Jackson Ms, LLC
- Jordan Ashley Coggins
- Cognitive Solutions
- Karen Cohn
- Kristain Jerae Coke
All providers in Jackson, MS · Addiction (Substance Use Disorder) Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.