Individual
CANDIS ALYSE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 E ST, SACRAMENTO, CA 95816-3511
(916) 442-4519
(916) 446-4939
Mailing address
2218 E ST, SACRAMENTO, CA 95816-3511
(916) 442-4519
(916) 446-4939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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