Individual
MR. BRENT ROBERT COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
130 ALTENA ST, SAN RAFAEL, CA 94901-5200
(720) 341-8985
Mailing address
130 ALTENA ST, SAN RAFAEL, CA 94901-5200
(720) 341-8985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2355
CA
Other
Enumeration date
05/14/2007
Last updated
02/12/2019
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