Individual
ANDREA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
400 MONTAUK HWY, SUITE 112, WEST ISLIP, NY 11795-4429
(631) 321-7107
Mailing address
148 MEAD CT, WANTAGH, NY 11793-1919
(631) 357-1313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004445
NY
Other
Enumeration date
12/15/2011
Last updated
12/11/2015
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