Individual
KATHY BAIN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3715 N BUSINESS DR, SUITE 104, FAYETTEVILLE, AR 72703-5204
(479) 521-1532
(479) 521-4971
Mailing address
2153 E JOYCE BLVD, SUITE 201, FAYETTEVILLE, AR 72703-4714
(479) 575-9471
(479) 587-9392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0292L
AR
171M00000X
Case Manager/Care Coordinator
—
AR
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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