Individual
DR. SELENA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D, LCCT
Contact information
Practice address
434 FLAT SHOALS AVE SE STE 5, ATLANTA, GA 30316-1915
(678) 908-8371
Mailing address
PO BOX 160014, ATLANTA, GA 30316-1001
(678) 908-8371
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
09173982
GA
Other
Enumeration date
07/11/2014
Last updated
01/11/2022
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