Individual
ANNIKA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 BLOOMFIELD HWY, KIRTLAND, NM 87417-9609
(801) 889-8058
Mailing address
2200 BLOOMFIELD HWY, FARMINGTON, NM 87401-8110
(801) 889-8058
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0542
NM
Other
Enumeration date
05/12/2021
Last updated
10/08/2024
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