Individual
BENJAMIN BRYAN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
23 PINE ST N, MORA, MN 55051-1320
(320) 679-6964
Mailing address
1996 PINE RIDGE RD N, MORA, MN 55051-6845
(320) 515-1609
(320) 679-8183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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