Individual
ANNETTE LYNN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3921C OUTLOOK BLVD, PUEBLO, CO 81008-1580
(719) 821-0688
Mailing address
1733 E 6TH ST, PUEBLO, CO 81001-3809
(719) 821-0688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000148130
—
CO
Enumeration date
07/22/2010
Last updated
04/19/2026
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