Individual
EASTON THOMAS COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2751 WILDERNESS RD, FORT CARSON, CO 80913-4719
(719) 526-6797
Mailing address
875 REDEMPTION PT, COLORADO SPRINGS, CO 80905-9503
(719) 534-3976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002389
CO
101YM0800X
Mental Health Counselor
LPC.0016260
CO
Other
Enumeration date
03/26/2018
Last updated
02/09/2024
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