Individual
BRANDY KAY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 463-9782
Mailing address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09261982
OTHER
OR
01
—
09261982
PRIVATE
WA
Enumeration date
11/19/2020
Last updated
11/19/2020
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