Individual
KRISTINA MARIE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4329 NORTHVIEW DR, BOWIE, MD 20716
(240) 560-2680
Mailing address
4329 NORTHVIEW DR, BOWIE, MD 20716-2601
(240) 560-2680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11879
SC
104100000X
Social Worker
11879
SC
104100000X
Social Worker
Primary
24598
MD
Other
Enumeration date
07/11/2018
Last updated
10/17/2019
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