Individual
MRS. BLANCHE ELAINE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
100 BILLINGSLEY ROAD, CHARLOTTE, NC 28211-1072
(704) 376-7447
(704) 376-3384
Mailing address
100 BILLINGSLEY ROAD, CHARLOTTE, NC 28211-1072
(704) 376-7447
(704) 376-3384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112198
—
NC
Enumeration date
10/12/2007
Last updated
10/12/2012
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