Individual
BRANDON W COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
1802 E THOMAS RD, PHOENIX, AZ 85016-8134
(602) 302-7812
(602) 258-6140
Mailing address
3003 N CENTRAL AVE STE 200, PHOENIX, AZ 85012-2914
(602) 685-6000
(602) 685-6002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-15030
AZ
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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