Provider Demographics
NPI:1851963581
Name:COIA, ANN W (LPC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:W
Last Name:COIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MCFERRAN
Other - Last Name:WUETIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1477 WAYNE DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6872
Mailing Address - Country:US
Mailing Address - Phone:610-358-2250
Mailing Address - Fax:
Practice Address - Street 1:711 CONCORD RD STE 10
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1300
Practice Address - Country:US
Practice Address - Phone:610-358-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008633101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty