Individual
MR. RODERICK EUGENE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1121 JACKSON ST NE, 105, MINNEAPOLIS, MN 55413-1672
(612) 236-1712
(612) 236-1701
Mailing address
2401 96TH AVE N, BROOKLYN PARK, MN 55444-1148
(763) 657-0265
(612) 236-1701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301358
MN
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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