Individual
BRADLEY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
(510) 653-6475
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
(510) 653-6475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
N0782668
CA
Other
Enumeration date
01/26/2011
Last updated
10/01/2014
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