Individual
NICHELLE SHENITA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WELLNESS COACH/PEER
Contact information
Practice address
3650 W MARTIN LUTHER KING JR BLVD, LOS ANGELES, CA 90008-1700
(951) 386-6204
Mailing address
7955 MAGNOLIA AVE APT 16B, RIVERSIDE, CA 92504-3490
(702) 712-3591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/11/2024
Last updated
10/09/2024
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