Provider Demographics
NPI:1407892151
Name:COEN, MICHAEL D (LPC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:D
Last Name:COEN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 CHAMPION CIR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4982
Mailing Address - Country:US
Mailing Address - Phone:303-941-0292
Mailing Address - Fax:970-669-7840
Practice Address - Street 1:2114 N LINCOLN AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3859
Practice Address - Country:US
Practice Address - Phone:970-217-2675
Practice Address - Fax:970-669-7840
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1261101YP1600X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional