Individual
JENNIFER ANNE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., M.A., M.S, PHD
Contact information
Practice address
325 S PAULINA ST STE 200, CHICAGO, IL 60612
(312) 942-8387
(312) 942-8374
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009864
IL
Other
Enumeration date
04/11/2013
Last updated
11/01/2019
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