Provider Demographics
NPI:1447571377
Name:COFFEY, RACHEL CARMELA
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:CARMELA
Last Name:COFFEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 PINE ST APT 312
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4504
Mailing Address - Country:US
Mailing Address - Phone:619-987-4121
Mailing Address - Fax:
Practice Address - Street 1:1777 PINE ST APT 312
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4504
Practice Address - Country:US
Practice Address - Phone:619-987-4121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)