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Individual

LERON COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPRM

Contact information

Practice address
54 SENECA ST, PONTIAC, MI 48342-2349
(248) 396-9928
Mailing address
54 SENECA ST, PONTIAC, MI 48342-2349
(248) 396-9928
(248) 334-8928

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38-3042347
TURNING POINT RECOVERY CENTER
MI
Enumeration date
02/26/2018
Last updated
02/26/2018
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