Individual
DEREK L COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6815 W CAPITOL DR, MILWAUKEE, WI 53216-2070
(414) 466-3204
(414) 466-3206
Mailing address
5389 W FAIRY CHASM RD, BROWN DEER, WI 53223-1609
(414) 807-5090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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