Individual provider · Type 1 NPI

Jack Coleman Jr.

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1114146156 Active

Practice location

944 Pacific Ave
Long Beach, CA 90813-4228

Call (562) 436-3533 Map

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 1114146156

Jack Coleman Jr.'s National Provider Identifier is 1114146156, issued on Apr 25, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Jul 8, 2007.