Individual
GLENDA JEANNETTE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
3430 E HIGHWAY 101 STE 3, PORT ANGELES, WA 98362-9069
(360) 452-4062
(360) 452-4189
Mailing address
3430 E HIGHWAY 101 STE 3, PORT ANGELES, WA 98362-9069
(360) 452-4062
(360) 452-4189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60099060
WA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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