Individual
TRACY LYNN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER RECOVERY COACH
Contact information
Practice address
DETROIT RECOVERY PROJECT, 1145 WEST GRAND BLVD., DETROIT, MI 48208
(313) 365-3100
(313) 365-3101
Mailing address
6292 RESTWOOD DR, LINDEN, MI 48451-8708
(810) 845-0875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
MI
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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