Individual
DR. FREDA LUE COALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
3987 FIESTA DR # A, LAS CRUCES, NM 88005-4240
(505) 523-6888
(505) 523-6999
Mailing address
3987 FIESTA DR # A, LAS CRUCES, NM 88005-4240
(505) 523-6888
(505) 523-6999
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
NM492
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NB72
BCBS
NM
01
—
1700069737
GEHA
NM
01
—
N7021
CONSULTEC
NM
01
—
NM100607-VNM00511
VALUE OPTIONS
NM
01
—
NM492
PSYCHOLOGIST LICENSE
NM
01
—
R01474
MAGELLAN B H
NM
Enumeration date
11/17/2006
Last updated
07/08/2007
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