Individual
MR. CHARLES T COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
106 EDWARDS ST, NEWTON, IL 62448-1736
(618) 783-4154
(217) 783-2339
Mailing address
106 EDWARDS ST, NEWTON, IL 62448-1736
(618) 783-4154
(217) 783-2339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/17/2009
Last updated
09/06/2012
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