Individual
DEBRA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY PL, SHREVEPORT, LA 71118-2544
(318) 220-8423
Mailing address
PO BOX 65074, SHREVEPORT, LA 71136-5074
(318) 820-8427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
10/31/2018
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