NPI Profile for SUSANNE COLEMAN in JUNEAU, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Community Health Worker |
172V00000X |
| NPI Number | 1376190462 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/22/2019 | |
| Last updated | 10/11/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SUSANNE COLEMAN
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