Provider Demographics
NPI:1740420777
Name:COFFMAN, BARBARA LYNNE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LYNNE
Last Name:COFFMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17726 NORLENE WAY
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95949-7341
Mailing Address - Country:US
Mailing Address - Phone:530-477-7050
Mailing Address - Fax:530-274-8135
Practice Address - Street 1:908 TAYLORVILLE RD
Practice Address - Street 2:STE. 206
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95949-9632
Practice Address - Country:US
Practice Address - Phone:530-477-7050
Practice Address - Fax:530-274-8135
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT33434106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist