Individual
MR. MICHAEL BEATTIE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
404 N GRAND ST, ENID, OK 73701-3215
(580) 747-5327
Mailing address
1939 ARAPAHO DR, ENID, OK 73703-7666
(580) 747-5327
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
502
OK
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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