Individual
MR. JEREMY GARTH COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1246 YELLOWSTONE AVE STE F, POCATELLO, ID 83201-4374
(208) 237-9194
(208) 237-2646
Mailing address
1246 YELLOWSTONE AVE STE F, POCATELLO, ID 83201-4374
(208) 237-9194
(208) 237-2646
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-6908
ID
Other
Enumeration date
08/27/2012
Last updated
02/21/2020
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