Individual
MR. PETER WADKIN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
951 EASTGATE LOOP STE 100, CHATTANOOGA, TN 37411-5604
(423) 631-5923
(423) 296-6515
Mailing address
509 OLIVER ST, CHATTANOOGA, TN 37405-4021
(423) 631-5923
(423) 296-6515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
102L00000X
Psychoanalyst
—
—
106H00000X
Marriage & Family Therapist
Primary
982
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3920247
—
TN
Enumeration date
07/12/2012
Last updated
04/26/2018
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