Individual
MISS SAMANTHA B COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
1701 WHITE STREET, MCCOMB, MS 39648
(601) 249-4217
(601) 249-4234
Mailing address
PO BOX 768, 1701 WHITE STREET, MCCOMB, MS 39648
(601) 249-4217
(601) 249-4234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5781
LA
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
12/14/2015
Last updated
05/11/2017
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