Individual
DORINDA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCD
Contact information
Practice address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 483-3444
(973) 485-7080
Mailing address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 483-3444
(973) 485-7080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37CA00046000
NJ
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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