Individual
MR. ROBERT EUGENE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
1158 PROFESSIONAL DR STE M, WILLIAMSBURG, VA 23185-6618
(757) 258-5700
(757) 253-2884
Mailing address
PO BOX 819, WILLIAMSBURG, VA 23187-0819
(757) 258-5700
(757) 253-2884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000044
VA
101YM0800X
Mental Health Counselor
0701000627
VA
106H00000X
Marriage & Family Therapist
Primary
0717000178
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5407800
—
VA
Enumeration date
10/12/2005
Last updated
08/06/2019
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