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Contact Information

CHARLES T COLEMAN, MA
106 EDWARDS ST
NEWTON, IL62448-1736
 Phone: 618-783-4154
 Fax: 217-783-2339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CHARLES T COLEMAN · (Male)

NPI Number 1508093535
Status Active
Credentials MA
Entity Individual
Enumeration date 06/17/2009
Last updated 09/06/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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