Individual
MS. JEWEL NICOLE' COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
214 HAYWOOD ST, RALEIGH, NC 27601-1526
(919) 696-0760
Mailing address
214 HAYWOOD ST, RALEIGH, NC 27601-1526
(919) 696-0760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2419
NC
101YM0800X
Mental Health Counselor
2419
NC
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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