Coffing-Blain, Crista

Coffing-Blain, Crista is an sole proprietor health care provider with primary practice located at 1300 Shetter Ave 1207, Jacksonville Beach FL 32250-3455. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Coffing-Blain, Crista can be contacted via phone (904) 434-2152.

Contact Information

Primary practice address
1300 Shetter Ave 1207 Jacksonville Beach FL 32250-3455
Phone: (904) 434-2152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X ATR00-141 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16915 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 00-141 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 00-141 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH11428 Florida

Profile Details

NPI number 1053723411
LBN Legal business name Coffing-Blain, Crista
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2014
Last updated Nov 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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