Individual
ALYSSA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCII
Contact information
Practice address
705 S BROWN SCHOOL RD, VANDALIA, OH 45377-3113
(937) 890-5400
Mailing address
103 IMPERIAL CT APT 5, VANDALIA, OH 45377-2034
(720) 951-6973
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161557
OH
Other
Enumeration date
05/08/2018
Last updated
10/28/2019
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