Individual provider · Type 1 NPI

Candis Alyse Coleman

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1104200765 Active

Practice location

2218 E St
Sacramento, CA 95816-3511

Call (916) 442-4519 Map

Fax (916) 446-4939

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104200765

Candis Alyse Coleman's National Provider Identifier is 1104200765, issued on Jul 14, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Jul 14, 2015.