Individual
ELIZABETH COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7627 LAKE ST, RIVER FOREST, IL 60305-1806
(888) 780-0006
Mailing address
7627 LAKE ST, RIVER FOREST, IL 60305-1806
(888) 780-0006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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