Individual
THERESA LORRAINE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1300 WOODLAND AVE, WEST DES MOINES, IA 50265-2306
(515) 309-1938
Mailing address
1300 WOODLAND AVE, WEST DES MOINES, IA 50265-2306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20059
IA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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