Individual
VICTORIA L COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
188 BLAINE ST, JOHNSTOWN, PA 15906-2130
(814) 270-3619
Mailing address
188 BLAINE ST, JOHNSTOWN, PA 15906-2130
(814) 270-3619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RN505755L
PA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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