Individual
TYNIA M COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC, NCC
Contact information
Practice address
4216 LAKE ST, LAKE CHARLES, LA 70605-4308
(337) 502-8669
Mailing address
630 W PRIEN LAKE RD STE B, LAKE CHARLES, LA 70601-0700
(337) 502-8669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7787
LA
101YP2500X
Professional Counselor
94981
TX
Other
Enumeration date
08/02/2018
Last updated
11/04/2024
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