Individual
KATHERINE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5597 AISEK ST, JUNEAU, AK 99801-9522
(907) 780-3037
Mailing address
PO BOX 20942, JUNEAU, AK 99802-0942
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712209
—
AK
Enumeration date
08/22/2019
Last updated
01/19/2023
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