Organization
COLEMAN PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA D. KEATHLEY (CREDENTIALING SPECIALIST)
(330) 676-6826
Entity
Organization
Contact information
Practice address
320 HIGH ST NE, WARREN, OH 44481-1222
(330) 393-1175
(330) 394-5910
Mailing address
5982 RHODES RD, KENT, OH 44240-4128
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0227
OH
251S00000X
Community/Behavioral Health Agency
Primary
0227
OH
Other
Enumeration date
11/29/2006
Last updated
10/23/2007
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