Most Relevant Information
Provider Data
| NPI Number: | 1003355132 |
| Provider Name: | JESSICA LYNN COFFEY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 085085 |
Most Important Dates
| Enumeration Date: | 02/22/2017 |
| Last Updated: | 02/22/2017 |
Provider Practice Location
8215 4TH AVE
APARTMENT B10
BROOKLYN
NY
112094454
Practice Location Phone/Fax
| Phone: | 5166729576 |
| Fax: |
Provider Mailing Location
8215 4TH AVE
APARTMENT B10
BROOKLYN
NY
112094454
Provider Mailing Phone/Fax
| Phone: | 5166729576 |
| Fax: |