Individual
JAE COURTNEY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
317 7TH AVE SE, CEDAR RAPIDS, IA 52401-2007
(319) 247-4873
Mailing address
707 25TH ST SE, CEDAR RAPIDS, IA 52403-2949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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