Provider Demographics
NPI:1710391008
Name:COE, AIMEE (LPCC-S, CRC, LCDCIII)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:COE
Suffix:
Gender:F
Credentials:LPCC-S, CRC, LCDCIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 W WOOSTER ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2781
Mailing Address - Country:US
Mailing Address - Phone:419-373-6560
Mailing Address - Fax:419-373-6561
Practice Address - Street 1:541 W WOOSTER ST FL 3
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2781
Practice Address - Country:US
Practice Address - Phone:419-373-6560
Practice Address - Fax:419-373-6561
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021230101YA0400X
OHE.0500315101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)