Individual
KELSEY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 W SPRUCE ST, OLATHE, KS 66061
(913) 826-4200
Mailing address
6000 LAMAR AVE STE 130, MISSION, KS 66202-3299
(913) 826-4200
(913) 826-1589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1620
KS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/13/2012
Last updated
07/29/2019
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