Individual
MARK JONATHAN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C., L.A.C.
Contact information
Practice address
2400 EDENBORN AVE, METAIRIE, LA 70001-1817
(504) 838-5257
(504) 838-5270
Mailing address
2400 EDENBORN AVE, METAIRIE, LA 70001-1817
(504) 838-5257
(504) 838-5270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
201
LA
101YM0800X
Mental Health Counselor
Primary
2037
LA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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