Individual
COLEMAN SHAW TORBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMFT
Contact information
Practice address
102 WINSTON WAY STE 3, CAMPBELLSVILLE, KY 42718-4991
(270) 832-7305
Mailing address
102 WINSTON WAY STE 3, CAMPBELLSVILLE, KY 42718-4991
(270) 832-7305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
260158
KY
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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