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Individual

KARISSA DIANE COLEMAN

Active
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Individual

KARISSA DIANE COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2801
MS
101YP2500X
Professional Counselor
7996
TN
101YP2500X
Professional Counselor
TEL1081
LA

Other

Enumeration date
07/25/2012
Last updated
03/19/2026
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