Individual
CHARISSE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, NCC
Contact information
Practice address
1200 BROAD ST, SUITE 103, DURHAM, NC 27705-3579
(919) 649-2109
Mailing address
1200 BROAD ST, SUITE 103, DURHAM, NC 27705-3579
(919) 649-2109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8667
NC
101YM0800X
Mental Health Counselor
Primary
8667
NC
101YP2500X
Professional Counselor
8667
NC
Other
Enumeration date
04/20/2016
Last updated
05/21/2020
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