Individual
ANNETTE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11133 WASHINGTON BLVD, CULVER CITY, CA 90232-3918
(310) 895-2360
(310) 895-2395
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CATC II 041034
CA
Other
Enumeration date
10/11/2007
Last updated
02/04/2015
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