Individual
CHARLOTTE COACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
8097 DECATUR ST, DETROIT, MI 48228-2721
(313) 846-5020
Mailing address
8097 DECATUR ST, DETROIT, MI 48228-2721
(313) 846-5020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020606865
—
MI
Enumeration date
04/30/2014
Last updated
04/30/2014
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