Individual
COLEMAN JEFF HELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1410 PICKWICK ST S, SAVANNAH, TN 38372-3519
(731) 925-5054
(731) 925-5699
Mailing address
1109 BRIARWOOD DR, IUKA, MS 38852-8427
(731) 925-5054
(731) 925-5699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC1838
TN
101YP2500X
Professional Counselor
LPC1838
TN
104100000X
Social Worker
LPC 1838
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
573121000
—
TN
Enumeration date
08/29/2006
Last updated
02/19/2024
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