Individual
MR. CHRISTOPHER J COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC, MAC, CCDP
Contact information
Practice address
192543 ROGERS CLARK BOULEVARD, RUTHER GLEN, VA 22546-3454
(804) 633-9997
Mailing address
9633 LANDCASTLE DR, ASHLAND, VA 23005-7874
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006732
VA
Other
Enumeration date
09/14/2016
Last updated
10/21/2016
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