Individual
ANGELA M COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8348 HIGHWAY 21, SHUQUALAK, MS 39361-7903
(662) 361-8671
(601) 677-4276
Mailing address
8348 HIGHWAY 21, SHUQUALAK, MS 39361-7903
(662) 361-8671
(601) 677-4276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C6052
MS
Other
Enumeration date
05/15/2006
Last updated
09/06/2023
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