MR. JEFFREY COULTER


Address: 11732 Denman Road, Philadelphia, PA 19154
Phone: (215) 637-6830

MR. JEFFREY COULTER (NPI# 1093231227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093231227
Entity Type Individual
Full Name MR. JEFFREY COULTER
Credential LPC
Practice Address 11732 Denman Road
Philadelphia
PA 19154
Mailing Address 11732 Denman Rd
Philadelphia
PA 19154-3616
Practice Telephone (215) 637-6830
Mailing Telephone 2156376830
Enumeration Date 2017-08-18
Last Update Date 2017-08-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PC008115 PA Behavioral Health & Social Service Providers

Other Providers JEFFREY COULTER

NPI Name Taxonomy Address Enumeration
1780936732 Jeffrey Alan Coulter Specialist/Technologist 2100 College St, Newberry, SC 29108-2126 2012-10-15

Office Location

Street Address 11732 DENMAN ROAD
City PHILADELPHIA
State PA
Zip Code 19154

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19154

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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