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Individual
MICHAEL COLEMAN
Active
Individual
MICHAEL COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII CCJP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
251500000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94 2346815
COMMUNITY BEHAVIOR HEALTH
CA
Enumeration date
01/21/2015
Last updated
01/21/2015
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