Individual
KELLY LYNN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
16607 RIVERSTONE WAY, BLDG 200, OFFICE# 210, CHARLOTTE, NC 28277
(704) 290-6082
Mailing address
5408 MACROOM CT, MATTHEWS, NC 28104-0600
(704) 900-4452
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12458A
NC
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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