Provider Demographics
NPI:1336577923
Name:COINER, JOHN ROBSON III (NCC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ROBSON
Last Name:COINER
Suffix:III
Gender:M
Credentials:NCC
Other - Prefix:MR
Other - First Name:ROB
Other - Middle Name:
Other - Last Name:COINER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NCC
Mailing Address - Street 1:1133 RAILROAD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5054
Mailing Address - Country:US
Mailing Address - Phone:360-676-2164
Mailing Address - Fax:360-676-2144
Practice Address - Street 1:1133 RAILROAD AVE STE 100
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5054
Practice Address - Country:US
Practice Address - Phone:360-676-2164
Practice Address - Fax:360-676-2144
Is Sole Proprietor?:No
Enumeration Date:2013-10-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health