Individual
MISS KASEY TARRYL COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC/ APC
Contact information
Practice address
3541 HABERSHAM AT NORTHLAKE BLDG E, TUCKER, GA 30084-4001
(470) 222-3671
Mailing address
1428 CHERRY AVE, BIRMINGHAM, AL 35214-4038
(205) 616-6420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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