Individual
KATARA JEANINE COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
170 JENNIFER RD STE 202, ANNAPOLIS, MD 21401-7909
(443) 291-8090
Mailing address
4519 RISING LN, BOWIE, MD 20715-3229
(443) 223-4775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CACII1250
DC
101YP2500X
Professional Counselor
Primary
LGP11779
MD
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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