Individual
MR. KEVIN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC LADC
Contact information
Practice address
14 OAKLAND ST, MANCHESTER, CT 06042-2362
(860) 995-4237
Mailing address
14 OAKLAND ST, MANCHESTER, CT 06042-2362
(860) 995-4237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004758
CT
Other
Enumeration date
01/05/2022
Last updated
06/21/2023
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