Individual
REBECCA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12265 JAMES ST BLDG A, HOLLAND, MI 49424-8613
(616) 494-5426
Mailing address
12265 JAMES ST BLDG A, HOLLAND, MI 49424-8613
(616) 494-5426
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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