Provider Information for 1689416760
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Ms. CAROL ADELE COLEMAN MFT
Other Names:Professional Name:Ms. CAROL ADELE COLEMAN MFTSex: Female
NPI: 1689416760
Last Updated: 2024-06-10
Certification Date: 2024-06-10
Certification Date: 2024-06-10
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1689416760 | ||||||||||||
| Enumeration Date | 2024-06-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 910 FIRST ST SEBASTOPOL, CA 95472-4128 United States Phone: 707-696-9533 | Fax: | ||||||||||||
| Primary Practice Address | 910 FIRST ST SEBASTOPOL, CA 95472-4128 United States Phone: 707-696-9533 | Fax: | ||||||||||||
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