Individual
CAROL ANN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
16220 W MAIN ST, LOUISVILLE, MS 39339-2639
(662) 773-9377
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-3918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700894730
MENTAL HEALTH COUNSELOR
MS
Enumeration date
02/12/2024
Last updated
02/12/2024
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